Question

Case Study #3 of 3

J.R., a 28 yr old, sexually active male, complains of painful penile lesions and
tender inguinal adenopathy. The lesions are vesicular and limited to the

shaft of the penis. The onset of the lesions was preceded by a one-week period of
fever, malaise, headache, and itching in the genital region.

Question #1 - What do you think is the problem?

Question #2 - What laboratory tests would help you confirm your diagnosis?

Question #3 - How should the patient's lesions be treated? With what type of medications are indicated?

Question #4 - What education do we give the patient going forward?

Question #5 - B.J. asks you "Will this ever go away?" What do you tell him?

Answer 1

Answer: The problem is the lymphogranuloma venerem. This is divided in to two parts as painless and painful. The genital ulcers occurs in men shows the symptoms such as lesions, pain etc. lymphogranuloma

The laboratory tests the would help in confirming the disease is the nucleic acid amplification. This diagnostic procedure confirms the LGBT.

Patient's lesion may slowly gets vanish within as 30 days of the treatment depending upon the severity. The treatment includes the antibiotic mainly doxycycline which is given 100mg for 21 days.

It is important to educate patient regarding the precautions as should not have unprotected sex. Patient should maintain proper hygiene.