• Symptom
  • Primary: painless papules
  • Secondary: Flu-like Symptoms, Reactive Arthritis, Bloody Prostatitis, inguinal/femoral Cervical LAD
  • Tertiary: Necrosis/rupturing of lymph node
• Must swab (no urine sample)
• High risk: HIV, HCV, MSM
• Treatment: Doxycycline x 21 dys