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Chancroid

Jeffrey T. Kirchner, DO, FAAFP, AAHIVS Reviewed 06/2018
 


BASICS

DESCRIPTION

  • A sexually transmitted infection characterized by painful genital ulcerations and inguinal adenopathy

  • Uncommon in the United States, present worldwide

  • Chancroid is endemic in developin...

DIAGNOSIS

HISTORY

  • Exposure to an infected individual

  • Local symptoms: dysuria, chancre (painful); inguinal lymph node swelling

  • Women can be asymptomatic carriers

  • Systemic symptoms often lacking

PHYSICAL EXAM

TREATMENT

GENERAL MEASURES

  • Outpatient treatment

  • Saline or Burow solution to soak ulcers

  • Aspiration of buboes if >5 cm; approach through adjacent skin. Consider incision and drainage for larger lesions...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Patient Monitoring

  • Avoid sexual activity until ulcers are resolved.

  • Clinical improvement usually occurs within 48 hours.

  • Reexamine patients 3 to 7 days after initiat...

REFERENCES

1
Adams DA, Fullerton K, Jajosky RA, et al. Summary of notifiable diseases infectious diseases—United States, 2013. MMWR Morb Mortal Wkly Rep.  2015; 62(53):1–122. {L-End} [View Abstra...

ADDITIONAL READING

  • Gonzalez-Beiras C, Marks M, Chen CY, et al. Epidemiology of Haemophilius ducreyi infections. Emerg Infect Dis.  2016;22(1):1–8.

  • Janowicz DM, Li W, Bauer ME. Host-pathogen interp...

CODES

ICD10

A57 Chancroid 

ICD9

099.0 Chancroid 

SNOMED

  • 266143009 Chancroid (disorder)

  • 402954007 Penile chancroid (disorder)

  • 402955008 Vulval chancroid (disorder)

  • 240585002 chancroid - anogenital ulcer (disor...

CLINICAL PEARLS

  • Chancroid is characterized by genital papules that progress to pustules and then open painful ulcers. Chancroid is rare in the United States.

  • Azithromycin is the treatment of choice.

  • Tre...

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