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Question category: Tropical medicine

A 22 year old male has just returned from Africa and presents with painful inguinal lymphadenopathy. He states he had noticed a painless ulcer on his penis about one week ago and then he noticed very tender lumps in his groins. The lymph nodes on examination are tender and fixed and the skin overlying is a dusky erythematous colour. Some of them are fluctuant. What is the most likely diagnosis?

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