You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information.
What is A 38 year old male presents to the OPD with swelling in the inguinal region. On examination inguinal nodes are enlarged along with multiple discharging sinuses from the enlarged lymphnodes. What is the most probable diagnosis? and explain in detail?
Patient in the question is most likely suffering from Lymphogranuloma venerum caused by Chlamydia trachomatis (L1, 2, 3). It is associated with sign of groove when both inguinal and femoral lymph nodes are enlarged and are separated by the inguinal ligament. Ref: Illustrated Synopsis of Dermatology and Sexually Transmitted Diseases By Neena Khanna 2e page 262.