患者男,46岁,二月前无明显诱因双侧腹股沟出现肿块伴隐痛,无发热、畏寒,不伴黄疸,双下肢活动不受限。双侧腹股沟抓破后出现渗液、溃疡。院外诊断为双侧腹股沟溃疡,用头孢菌素(具体药名不详)治疗一月余无效,溃疡加深,脓性分泌物多,味臭,夜间高热,体重进行性下降。既往有非婚性接触史多年,性伙伴均为女性,无其它疾病。体检:体温38℃,脉搏86次/分,呼吸20次/分, Patients male, 46 years old, no obvious incentive until February Two-sided groin mass with pain, no fever, chills, without jaundice, both lower extremity activity is not limited. Bleeding, ulcers after bilateral inguinal scratching. Out-of-hospital diagnosis of bilateral inguinal ulcer, with cephalosporins (specific drug name unknown) more than a month of treatment ineffective, deepened ulcers, purulent secretions and odor, night fever, weight decline. Past history of non-marital contacts for many years, sexual partners are women, no other diseases. Physical examination: body temperature 38 ℃, pulse 86 beats / min, breathing 20 beats / min,