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A case of chancroid

K Harvey, L Bishop, D Silver

    The Medical Journal of Australia
    |June 25, 1977
    PubMed
    Summary
    This summary is machine-generated.

    A penile ulceration after travel to Hong Kong was diagnosed as chancroid, a rare venereal disease in Australia. Prompt antibiotic treatment led to healing, highlighting the need for considering this infection in returned travelers.

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    Area of Science:

    • Infectious Diseases
    • Dermatology
    • Urology

    Background:

    • Chancroid is a bacterial sexually transmitted infection caused by Haemophilus ducreyi.
    • It is characterized by genital ulcers and can lead to phimosis and paraphimosis.
    • While uncommon in Australia, it remains prevalent in many tropical regions worldwide.

    Observation:

    • A 27-year-old male presented with penile ulceration unresponsive to penicillin therapy following travel to Hong Kong.
    • He subsequently developed acute paraphimosis.
    • Clinical diagnosis of chancroid was confirmed by laboratory isolation of Haemophilus ducreyi.

    Findings:

    • The patient's genital ulcers and paraphimosis resolved after treatment with sulphonamide and streptomycin.
    • This case highlights the successful management of chancroid with specific antibiotic therapy.

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    Implications:

    • Healthcare providers should consider chancroid in the differential diagnosis of genital ulceration, especially in patients with a history of international travel to endemic areas.
    • Early diagnosis and appropriate antibiotic treatment are crucial for managing chancroid and preventing complications.
    • This case underscores the importance of recognizing and managing uncommon sexually transmitted infections in clinical practice.