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First reported case of chancroid in the Czech Republic
Filip Rob1, David Jilich2, Šárka Lásiková3
11 Department of Dermatovenerology, Second Faculty of Medicine, Charles University, Na Bulovce Hospital, Prague, Czech Republic.
International Journal of STD & AIDS
|May 12, 2018
Summary
Chancroid, a rare genital ulcer disease caused by Haemophilus ducreyi, was diagnosed in an HIV-positive man in the Czech Republic. The multiplex nucleic acid amplification test confirmed the diagnosis, highlighting the need for physician awareness in Central Europe.
Area of Science:
- Infectious Diseases
- Microbiology
- Public Health
Background:
- Chancroid is a sexually transmitted infection caused by Haemophilus ducreyi.
- It is characterized by painful genital ulcers.
- The disease is endemic in many developing countries but rare in developed nations.
Observation:
- A case of chancroid was diagnosed in a 40-year-old heterosexual, HIV-positive man in the Czech Republic.
- The patient presented with a genital ulcer.
- Transmission routes were unclear as the patient denied sexual contact and recent travel.
Findings:
- A multiplex nucleic acid amplification test (NAAT) confirmed the diagnosis of Haemophilus ducreyi infection.
- This case represents the first documented occurrence of chancroid in the Czech Republic.
- The diagnostic utility of NAAT in identifying chancroid is highlighted.
Implications:
- Physicians in Eastern and Central Europe should consider chancroid in the differential diagnosis of genital ulcers.
- Increased awareness is crucial for timely diagnosis and management of this rare infection.
- Further surveillance may be needed to understand the epidemiology of chancroid in non-endemic regions.
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