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[Soft chancroid: 4 clinical cases]

C S Manget Velasco1, J Borbujo Martínez, J A Manzano de Aróstegui

  • 1Centro de Salud V Centenario, San Sebastián de los Reyes, Madrid.

Atencion Primaria
|December 1, 1993
PubMed
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Chancroid, a bacterial infection, presents as painful penile ulcers. Early diagnosis and treatment with Ceftriaxone are crucial, especially in patients with HIV, to prevent complications and transmission.

Area of Science:

  • Dermatology
  • Infectious Diseases
  • Microbiology

Background:

  • Chancroid is a sexually transmitted infection caused by Haemophilus ducreyi.
  • It is characterized by painful genital ulcers and can be mistaken for other ulcerative conditions.
  • Early and accurate diagnosis is essential for effective treatment and public health management.

Observation:

  • Four male patients presented with painful penile ulcers, appearing 10-15 days post-infection.
  • Two patients had previously received unsuccessful penicillin treatment.
  • Lesions were located in the balanopreputial furrow; some cases involved single lesions and secondary adenopathy.

Findings:

  • Diagnosis was confirmed via microbiological culture for Haemophilus ducreyi.
  • VDRL and HIV serologies were performed; syphilis serology was negative in all cases.

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  • Two patients tested positive for HIV. All patients achieved a cure with a single dose of Ceftriaxone.

    • Implications:

    • Chancroid requires specific diagnostic methods, including culture, for accurate identification among genital ulcers.
    • Prompt treatment with first-line antibiotics like Ceftriaxone is vital for Public Health Systems.
    • Genital ulcers are a significant risk factor for HIV transmission, necessitating HIV screening in affected individuals.