Difference between revisions of "Chancroid"

(Text replacement - "==Diagnostic Evaluation==" to "==Evaluation==")
(Text replacement - "Ceftriaxone" to "Ceftriaxone")
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*Antibiotics<ref name="Basta" />:
 
*Antibiotics<ref name="Basta" />:
 
**[[Azithromycin]] 1g PO x1 '''OR'''
 
**[[Azithromycin]] 1g PO x1 '''OR'''
**[[Ceftriaxone]] 250mg IM x1 '''OR'''
+
**[[[[Ceftriaxone]]]] 250mg IM x1 '''OR'''
 
**[[Erythromycin]] 500mg PO QID x7 days '''OR'''
 
**[[Erythromycin]] 500mg PO QID x7 days '''OR'''
 
**[[Ciprofloxacin]] 500mg PO BID x3 days
 
**[[Ciprofloxacin]] 500mg PO BID x3 days

Revision as of 19:30, 27 January 2017

Background

  • Caused by Haemophilus ducreyi
  • Sexually transmitted
  • Rare in western countries (leads to frequent misdiagnosis in these locations)
Chancroid (male)
Chancroid (female)

Clinical Features

  • Incubation period 3-7 days[1]
  • Lesions begin as soft chancre/papule → painful ulceration with ragged margins[1]
  • Within days to weeks, unilateral painful inguinal lymphadenopathy (buboes) forms
    • These may become abscessed and rupture

Differential Diagnosis

Evaluation

  • Generally clinical diagnosis
  • PCR can be used for indeterminate cases[1]

Management

Disposition

  • Discharge

See Also

References

  1. 1.0 1.1 1.2 1.3 Basta-Juzbašić A, Čeović R. Chancroid, lymphogranuloma venereum, granuloma inguinale, genital herpes simplex infection, and molluscum contagiosum. Clin Dermatol. 2014 Mar-Apr;32(2):290-8. doi: 10.1016/j.clindermatol.2013.08.013.