Which stage of LGV infection is associated with bubo
High-Yield Explanation
LGV infection:Primary stage:Small, painless, papulovesicular (Ext.genitalia)Usually unnoticedI/P: 3 days to 5 weeksSecondary stage:About 2 weeks later- lymphatic spread to draining lymph nodesMen -Inguinal L.N women -Intrapelvic & Para rectal nodesBubo(enlarge, suppurate, adherent to the skin)- break down- sinuses - discharging pusHemorrhagic proctitis with Regional L.NThird stage: Chronic (several years)Scarring & lymphatic blockageRectal strictures & elephantiasis of vulva (ESTHIOMENE)(Ref: Ananthanarayan 9th edition, p420-421)