Suppurative lymphadenitis is an important and common form of soft tissue infection. Most acute cases of suppurative lymphadenitis are caused by Staphylococcus aureus or by Streptococcus pyogenes. The patient presented with painful swelling of left groin and fever on and off for 1 week. There were signs of spreading cellulitis and abscess formation.He was on cephalosporins for 1 week with no benefit. There were no signs of wound /infection or history of trauma /cat scratch etc on draining areas. He did not have history of urethral problems. There was no history of exposure. His viral markers were negative and blood sugar was within normal range.
He was taken up for incision and drainage.Around 50 ml pus was drained and sent for culture and sensitivity.
He was started on amoxycillin and clavulanic acid combination, anti-inflammatory drugs with metronidazole. The wound was left open for secondary healing.