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

? B/L inguinal hernia & secondary infection

Agreed with Dr Vavuluru Dudhakarbabu

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

Thanks Dr rupan Patel.
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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,

Cellulitis.. Admit Treat with IV antibiotics. Investigate for HIV, Filaria. DEC and Doxy can be added

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

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

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!

Investigation ? Hiv / vdrl..?

Viral markers are non reactive
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