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Chancroid, Pediatric

Evelyn Porter, MD, MS and Christine S. Cho, MD, MPH, MEd Reviewed 10/2018
 


BASICS

DESCRIPTION

Sexually transmitted infection caused by Haemophilus ducreyi that manifests as painful genital skin ulcerations and inguinal lymphadenopathy 

EPIDEMIOLOGY

  • Low incidence in the United S...

DIAGNOSIS

  • Diagnosis of chancroid is routinely based on clinical findings after the exclusion of other causes of genital ulcer disease.

  • Males usually present with symptoms referable to an acute, painful...

TREATMENT

GENERAL MEASURES

Condom use if consenting teen and sexually active 

MEDICATION

  • Azithromycin 20 mg/kg (max 1 g) PO, once

  • Ceftriaxone 50 mg/kg (max 250 mg) IM, once

  • Ciprofloxacin 500 mg b.i.d. for ...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

  • Patients should be followed weekly until symptoms resolve.

  • Recent sexual partners (within the preceding 10 days) should be treated.

  • If initial HIV and syphilis test...

ADDITIONAL READING

  • American Academy of Pediatrics. Chancroid. In: Pickering LK, Baker CJ, Kimberlin DW, et al , eds. Red Book: 2012 Report of the Committee on Infectious Diseases. 29th ed. Elk Grove ...

CODES

ICD9

  • 099.0 Chancroid

  • 099.0 Chancroid

ICD10

A57.00000 Chancroid 

SNOMED

266143009 Chancroid (disorder) 

FAQ

  • Q: If the culture is negative should I still consider chancroid?

  • A: Yes. Sensitivity for cultures of genital ulcers caused by chancroid are only 75% sensitive.

  • Q: Can a diagnosis of chancroid be mad...

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