A sexually transmitted infection characterized by painful genital ulcerations and inguinal lymphadenopathy.
Caused by Haemophilus ducreyi, a fastidious gram-negative coccobacillus.
Thi...
Common symptoms: painful genital papules or ulcerations, dysuria, inguinal lymph node swelling, vaginal discharge, and pain during int...
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...
Avoid sexual activity until ulcers are resolved.
Clinical improvement usually occurs within 48 hours.
Reexamine patients 3 to 7 days after initiat...
Markle W, Conti T, Kad M. Sexually transmitted diseases. Prim Care. 2013;40(3):557–587. [View Abstract on OvidMedline]
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A57 Chancroid
402954007 Penile chancroid
402955008 Vulval chancroid
240586001 Chancroid - extragenital ulcer
240585002 Chancroid - anogenital ulcer
266143009 Chancroid
240587005 Chancroid -...
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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FIGURE 19.14 Chancroid. This patient has multiple painful ulcers on the glans penis.
Figure 107.1. Characteristics of <italic>H. ducreyi</bold>. (A) The colonies are tan-gray and approximately 0.5 to 1 mm in diameter. The colonies can be nudged intact across the agar surface. <bold>(B)</bold> The intracellular adhesion shown may account for the tenacious characteristics of the colony.
Figure 107.1. Characteristics of <italic>H. ducreyi</bold>. (A) The colonies are tan-gray and approximately 0.5 to 1 mm in dia...
Figure 107.4. Genital ulcers. <bold>(A)</bold> The eroded purulent ulcer of chancroid is painful and may be associated with painful inguinal adenitis. <bold>(B)</bold> Lymphogranuloma venereum has a small, transient genital ulcer with swollen, extremely painful inguinal lymph nodes. <bold>(C)</bold> The genital lesions of GI are painless, beefy red, raised lesions. (Part C from Al-Harmozi SA, el-Tonsy MH. Granulmoa inguinale. Report of the first case in Qatar. Sex Transm Dis1986;13:102, with permission.)
Figure 107.4. Genital ulcers. <bold>(A)</bold> The eroded purulent ulcer of chancroid is painful and may be associated with pa...