54 male with c/o pain and swelling in inguinoscraotal area for 20 days. No hx of TB/trauma L/E: swelling in the scrotum involving penis with multiple purulent discharging sinuses and multiple cystic lesions.

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lymphangitis with lymphoceles due to filarial cellulitis, diethylcarbamazapine, doxy, antihistomonics Antioxidants

? cellulitis ? Genital herpes ?fileriasis Check STD status HIV/HBsAg/HCV/VDRL Tinea cruris in inguinal region. Usg local area to be done to R/o inguinal hernia Give tab chymoral forte Scrotal support IF PAIN TOO MUCH NSAID +PPI PERSONAL HYGIENE, clean area with betadine twice daily Tab cefpodoxime 500 Antihistaminic like CPM and Fexofenidine

B/L Inguinal lymphadenitis with Scrotal cellulitis? filarial with Secondary infection HIV, VDRL,KHAN TEST Scratch skin for CS & KOH CBC, ESR, ABSOLUTE EOSINOPHIL COUNT USG of Lower abdomen & Scrotum with testes Treat with Antibiotics, Diethylcarbamazine, Albendazole, NSAIDS, Antiinflammatory, Topical antibiotics Scrotal support

B/ L Inguinal Hernia with Tinea Cruris with Secondary Infection DD Inguinal Lymphadinitis with Tinea Cruris with Contect Dermatitis with Foliculitis Tab augmintin 625mg bd Cap itraconazole 200mg OD Tab ibugesic plus Fusigen cream Luliconazole lotion / Srrtacanazole cream Keto soap Flucos dusting powder multivitamin antioxidants Evion 400mg Vit D A Adv USG abdoman cbx, Blood sugar fasting pp,

Fungal infection involved. Filarial lymphangitis involved. Bfiad spectrum Antibiotics / DEC / NSAID../ CBC./ P.Fillarial test. USG Scrotum ... DD.Bilateral linguinal hernia.

It is filarial lymphangitis with vescile like structure lymphoceles containing lypmh Antibiotic broad spectrum to prevent secondary infection Anti-inflammatory Tab diethylcarbamazine citrate. Antihistaminic

Congratulations! Your case has been selected as Case of the day and you have been awarded 5 points for sharing the case. Keep posting your interesting cases, Happy Curofying!

Bilateral Inguinal hernia with Times Curtis with secondary infection Give.. T. 7Augmentin 625mg bd Cap. Itraconizole 200mgbd Tab. Ibugesic plus

ACD WITH TINEA CRURIS? INV RBS ,CBC, INJ CEFTRIOXONE WITH SALBACTUM 1GM IV FOR 5DAYS TAB MEGA CV 625MG TDS TAB ZERODOL SP BD TAB CELINE 500MG OD TAB FUSYS 150MG WEEKLY OINT SUPRAGENT APPLY QID TAB LECOPE 5MG HS TAB CPM 4MG HS

Agree with Dr vuvuluru Shudhakarbabu. Antihistamine orally. Doxy 100 mg bd.

Thanks Dr rupan Patel.
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