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Chancroid, Emergency Medicine

Norbert Elsner Reviewed 06/2017
 


Basics

Description

  • Sexually transmitted genital ulcerative disease:

    • Increased risk for HIV infection

  • A common cause of genital ulceration in Africa, southeast Asia, and Latin America:

    • Uncommon in US where...

Diagnosis

Signs and Symptoms

  • Begins as a single erythematous papule or pustule:

    • Quickly erodes into painful chancres (1–20 mm)

    • Soft and friable with ragged, irregular borders

  • Primary ulcer usually excavat...

Treatment

Initial Stabilization/Therapy

Usual precautions for patient exam and handling of specimens 

Ed Treatment/Procedures

Antibiotics: 

Follow-Up

Disposition

Admission Criteria

  • Sexual abstinence or condom use until lesions healed

  • Clinical course:

    • Symptoms improve within 2 days of treatment

    • Ulcers improve within 3–7 days

    • Possible delayed res...

Pearls and Pitfalls

  • Initiate treatment if probable CDC case guidelines met; do not wait for culture results

  • Higher risk of treatment failure in HIV-infected patients

  • Presumptive treatment of sexual cont...

Additional Reading

  • Centers for Disease Control and Prevention. Sexually Transmitted Diseases Treatment Guidelines 2010. Available at www.cdc.gov/std/treatment. Accessed March 1, 2013.

  • Chancroid. UpToDa...

Codes

ICD9

099.0 Chancroid 

ICD10

A57 Chancroid 

SNOMED

  • 266143009 Chancroid (disorder)

  • 402954007 Penile chancroid (disorder)

  • 402955008 Vulval chancroid (disorder)

  • 240586001 Chancroid - extragenital ulcer (dis...

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