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This 27-year-old man complained of fever and increasingly painful “knots” in his right groin. Confident that the patient hadinfectious lymphadenitis, his physician incised the affected nodes. No pus came forth. The operative site ulcerated, and in a span of two weeks becameprogressively red, hot, puffy, and tender. Antibiotic therapy had no effect.
Biopsy specimens of a right inguinal lymph node and adjacent ulcerated skin established the diagnosis. This case has a moral: Whensuspecting infectious lymphadenitis, remember lymphoma.
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