Chancroid history and symptoms: Difference between revisions
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*Patient has one or more painful genital ulcers. The combination of a painful ulcer with tender adenopathy is suggestive of chancroid; the presence of suppurative adenopathy is almost pathognomonic. | *Patient has one or more painful genital ulcers. The combination of a painful ulcer with tender adenopathy is suggestive of chancroid; the presence of suppurative adenopathy is almost pathognomonic. | ||
*No evidence of ''[[Treponema pallidum]]'' is indicated by dark-field examination of ulcer or by a serologic test for [[syphilis]] performed at least 7 days after the onset of ulcer. | *No evidence of ''[[Treponema pallidum]]'' is indicated by dark-field examination of ulcer or by a serologic test for [[syphilis]] performed at least 7 days after the onset of ulcer. | ||
*The clinical presentation is not typical of disease caused by [[Herpes Simplex Virus | *The clinical presentation is not typical of disease caused by [[Herpes Simplex Virus|Herpes Simplex Virus (HSV)]], or result of culture for HSV is negative. | ||
==References== | ==References== | ||
Revision as of 19:23, 21 January 2016
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Chancroid history and symptoms On the Web |
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calculators and risk factors for Chancroid history and symptoms |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Yazan Daaboul, M.D. Nate Michalak, B.A. Serge Korjian M.D.
Overview
The characteristic manifestation of chancroid is a painful, nonindurated ulcer. The ulcer may range from 1/8 to 2 inches in diameter and has irregular and sharp borders. Ulcers may discharge a grey/yellow exudate. Other symptoms include inguinal lymphadenitis (predominantly in males), known as buboes, and dysuria and dyspareunia in females. Probable cause of chancroid also includes negative tests for Treponema pallidum/syphilis and Herpes Simplex Virus (HSV).
Symptoms
Local Manifestations
The characteristic feature of chancroid is a genital lesion. A patient may present with either of the following types of lesions, depending on the stage of infection:
Ulcer characteristics:
- Ranges in size from 3 to 50 mm (1/8 to 2 inches) in diameter
- Painful
- Soft, nonindurated
- Irregular border
- Sharp margins
- Grey/yellow exudate
Other Symptoms
- Inguinal lymphadenitis in approximately 50% of patients, known as buboes (typically unilateral and predominantly in males)
- Dysuria in females
- Dyspareunia in females
The CDC's standard clinical definition for a probable case of chancroid includes all of the following:
- Patient has one or more painful genital ulcers. The combination of a painful ulcer with tender adenopathy is suggestive of chancroid; the presence of suppurative adenopathy is almost pathognomonic.
- No evidence of Treponema pallidum is indicated by dark-field examination of ulcer or by a serologic test for syphilis performed at least 7 days after the onset of ulcer.
- The clinical presentation is not typical of disease caused by Herpes Simplex Virus (HSV), or result of culture for HSV is negative.
References