Presentation
"Chancroid Clinical Presentation". News-Medical. https://www.news-medical.net/health/Chancroid-Clinical-Presentation.aspx. (accessed November 02, 2022). Harvard Meštrović, Tomislav. 2019. Chancroid Clinical Presentation. [news-medical.net]
A 30-year-old man presents with mildly painful sores that have been present on his penis for three days. He had no symptoms before the lesions appeared, and he has never had similar genital lesions before. [clinicaladvisor.com]
Special treatment situations Special considerations Seek specialist advice before treating any complicated presentation. Follow up Will be provided by specialist service. Test of Cure (TOC) Not required. [sti.guidelines.org.au]
The book covers the entire spectrum of HIV-associated cutaneous diseases, and emphasizes how they present in immunocompromised patients. [books.google.com]
Immune System
- Inguinal Lymphadenopathy
Genital trauma is usually suspected by history and less prominent inguinal lymphadenopathy than seen in chanchroid. [dermatologyadvisor.com]
Cho, MD, MPH, MEd Reviewed 10/2018 Sexually transmitted infection caused by Haemophilus ducreyi that manifests as painful genital skin ulcerations and inguinal lymphadenopathy Low incidence in the United S... [5minuteconsult.com]
Often, a painless inguinal lymphadenopathy can be observed. Herpes genitalis: Grouped papels or vesicles on an erythematous base are pathognomonic for genital herpes. After rupturing, they form an ulcer and heal within 1–4 weeks. [urology-textbook.com]
Entire Body System
- Swelling
Swelling in the groin, which is where the lower abdomen and thigh meet, may occur. Swollen lymph nodes can break through the skin and lead to large abscesses, or collections of pus, that drain. [healthline.com]
They may also examine the groin lymph nodes for swelling pain, as this is a tell tale sign of infection. Currently, chancroid cannot be diagnosed through blood testing. [sexinfo.soc.ucsb.edu]
In one half of people who have swelling of the groin lymph nodes, the nodes break through the skin and cause draining abscesses. The swollen lymph nodes and abscesses are also called buboes. [centurahealthinfo.org]
- Lymphadenopathy
Lymphadenopathy Painful tender groin lumps (bubo) is typical for chancroid in combination with a painful genital ulcer. A suppurative lymphadenopathy (abscess formation and drainage over the inguinal skin) is pathognomonic for chancroid. [urology-textbook.com]
Clinical: painful ulcers associated with painful lymphadenopathy appear after an incubation period of 4-7 days; as opposed to syphilis, the chancre in chancroid has undermined edges and is covered by a gray-yellow exudate. Transmission: sexual. [auanet.org]
- Asymptomatic
Exposure to an infected individual Local symptoms: dysuria, chancre (painful); inguinal lymph node swelling Women can be asymptomatic carriers Systemic symptoms often lacking Outpatient treatment Saline or Burow solution to soak ulcers Aspiration of buboes [5minuteconsult.com]
It is more common in males than in females, but females are more likely than males to have a relatively asymptomatic (silent) presentation. [wamhc.org]
Because chancroid is often asymptomatic in women, they may be unaware of the lesion(s). Painful lymph glands may occur in the groin, usually only on one side; however, they can occur on both sides. [diseasesdic.com]
Sexual partners within 10 days prior to onset of symptoms must be traced and treated, even if asymptomatic. Several reports now describe nongenital cutaneous limb ulcerations due to H ducreyi in yaws-endemic countries. [online.epocrates.com]
- Inflammation
CONSUMERS: Click here for the Consumer Version Topic Resources Balanitis is inflammation of the glans penis, posthitis is inflammation of the prepuce, and balanoposthitis is inflammation of both. [merckmanuals.com]
Pulsatilla has long been known as a remedy for otitis externa or inflammation of the external... Pagina 64 - In alcoholic inebriation it promotes the appetite and digestion, and lessens the craving for liquor. [books.google.ro]
Terminology + Balanitis – inflammation of the glans penis + Posthitis – inflammation of the penile foreskin + Balanoposthitis – inflammation of both + Prepuce – foreskin. [dermcast.tv]
ICD-10-CM A57 is grouped within Diagnostic Related Group(s) (MS-DRG v 36.0): 727 Inflammation of the male reproductive system with mcc 728 Inflammation of the male reproductive system without mcc 742 Uterine and adnexa procedures for non-malignancy with [icd10data.com]
In women, an inflammation of the cervix, the fallopian tubes or/and peritonitis may appear as well as inflammation and infection of the lymphatic system. [courses.lumenlearning.com]
- Weakness
[…] is playing a role, check neck flexor strength to assess if a new neuromuscular weakness is present – MIF & VC are the confrontational tests for the diaphragm. [ucsfmed.wordpress.com]
This disease is commonly observed (and sporadically endemic) in the poorest regions of the world that have weak public health infrastructure (such as Asia, Africa and the Caribbean). [news-medical.net]
Hydrocortisone This is a weak steroid cream that can be used in region where is delicate and soft skin tissues like groin area. Apply the cream on the affected part of the penis directly according to the instruction given by the doctor. 4. [menshealthmag.org]
Rhinoscleroma, Klebsiella pneumonia Klebsiella granulomatis Granuloma inguinale Klebsiella oxytoca Escherichia coli : Enterotoxigenic Enteroinvasive Enterohemorrhagic O157:H7 O104:H4 Hemolytic-uremic syndrome Enterobacter aerogenes / Enterobacter cloacae Slow/weak [en.wikipedia.org]
Respiratoric
- Aspiration
Vulva, labia, introitus ≥ 13 yrs, episiotomy, endometrium, genital ulcer/sore, inguinal node aspirate or swab, excoriations, chancre/chancroid, Bartholin cyst/gland/abscess, penis, penile discharge, foreskin, prepuce, glans penis, balanitis. [calgarylabservices.com]
The enlarged fluctuant suppurative lymph nodes can be aspirated. Medical treatment of chancroid The patients can be treated by oral azithromycin 1 gram single dose or intra-muscular injection of one dose of ceftriaxone 250mg. [medthical.com]
Labs Herpes Simplex Virus Testing HSV PCR from ulcer scraping or vessicle aspirate (preferred obver HSV culture) HSV Serology (type specific) Chancroid testing (if high Incidence in community) Outside the U.S., PCR testing may be available, which is much [fpnotebook.com]
Exposure to an infected individual Local symptoms: dysuria, chancre (painful); inguinal lymph node swelling Women can be asymptomatic carriers Systemic symptoms often lacking Outpatient treatment Saline or Burow solution to soak ulcers Aspiration of buboes [5minuteconsult.com]
Fluctuating lymph nodes and abscess formations should be incised and drained (alternatively needle aspiration). Index: 1–9 A B C D E F G H I J K L M N O P Q R S T U V W X Y Z References Brown u.a. 1999 B ROWN, T. J. ; Y EN- M OORE, A. ; T YRING, S. [urology-textbook.com]
Gastrointestinal
- Diarrhea
As a result, some people may experience: recurrent infections that last for long periods weight loss night sweats chronic diarrhea life-threatening infections skin issues When to see a doctor Conditions, such as an allergic reaction, can also cause a [medicalnewstoday.com]
Proctitis results in diarrhea (frequent bowel movements) and an anal discharge (drainage from the rectum). Gonorrhea can also cause epididymitis and orchitis ( inflammation of the testicle ). [emedicinehealth.com]
Symptomatic individuals could experience diarrhea, abdominal pain or bloating, nausea, and vomiting. [advocatesaz.org]
Develops regional lymphadenopathy after 1 to 4 weeks Inguinal lymph node swelling about 2 weeks later Systemic symptoms include: myalgia, headache, fever, chills, backache, and weight loss Proctitis: infection of the rectum may produce: diarrhea, tenesmus [med-help.net]
Skin
- Ulcer
Genital ulcers. (A) The eroded purulent ulcer of chancroid is painful and may be associated with painful inguinal adenitis. (... [5minuteconsult.com]
All patients should return for review if their ulcers have not healed. [sti.guidelines.org.au]
Signs and Symptoms Genital Ulcer: Chancroid leads to one or more deep purulent genital ulcer. The ulcers are very painful and 2–20 mm in diameter. Genital lymphedema is possible. [urology-textbook.com]
ulcerated, ulcerating, ulceration, ulcerative chancroidal A57 Ulcus - see also Ulcer molle A57 (cutis) (skin) Virulent bubo A57 Vulvitis (acute) (allergic) (atrophic) (hypertrophic) (intertriginous) (senile) N76.2 ICD-10-CM Diagnosis Code N76.2 Acute [icd10data.com]
A 61-year-old man presented with a five-day history of a penile ulceration. It began as an itchy, erythematous lesion and gradually became pigmented, blistered, and ulcerated (see accompanying figure ). [aafp.org]
- Erythema
Clinical classification of cases of toxic epidermal necrolysis, Stevens-Johnson syndrome and erythema multiforme. Arch Dermatol '1993; 129: 92-6. [books.google.ro]
The characteristic presentation is a pruritic or burning, sharply circumscribed, round-to-oval patch with violaceous or dusky erythema. [aafp.org]
Buboes are usually located only on one side of the body and coupled with erythema of the superjacent skin. They sometimes spontaneously rupture and form inguinal sinuses. [news-medical.net]
The skin may be affected by erythema multiforme, urticaria, erythema nodosum or scarlatiniform rash. There may (rarely) be signs of conjunctivitis, hepatomegaly, meningoencephalitis, pericarditis, pneumonia and arthritis. [patient.info]
- Skin Ulcer
Cho, MD, MPH, MEd Reviewed 10/2018 Sexually transmitted infection caused by Haemophilus ducreyi that manifests as painful genital skin ulcerations and inguinal lymphadenopathy Low incidence in the United S... [5minuteconsult.com]
Chancroid is caused by a bacterial pathogen Haemophilus ducreyi that has also been implicated in chronic skin ulcers commonly observed in the South Pacific region. [news-medical.net]
Central ulceration and necrosis follow, leading to the characteristic chancre. In addition to genital ulcers, H. ducreyi causes chronic skin ulcerations, particularly in children from developing countries. [unboundmedicine.com]
Genital Ulcer Diseases Genital ulcers are skin ulcers on the genital area caused by sexually transmitted diseases or noninfectious conditions. [courses.lumenlearning.com]
Psychiatrical
- Suggestibility
The histomorphologic and immunophenotypic nature of the inflammatory infiltrates suggests that there is a significant role for cell-mediated immunity in the host response to Hemophilus ducreyi infection. [ncbi.nlm.nih.gov]
Short suggests that even your garden-variety soap might do the trick. Most advocates recommend using them in conjunction with condom use. Short suggests we expand the use of microbicides to the penis. [salon.com]
[…] countries, particularly Africa, Asia and Latin America Associated with commercial sex workers Etiology Caused by Haemophilus ducreyi, a small gram negative rod Clinical features Painful genital ulcer associated with tender suppurative inguinal adenopathy is suggestive [pathologyoutlines.com]
Neurologic
- Burning Sensation
The ruptures of the blisters c. an itching or burning sensation d. a feeling of depression c. an itching or burning sensation Which of the following statements concerning the recurrence of genital herpes is true? a. [quizlet.com]
[…] disease that affect the head of penis result I itching and burning sensations. [menshealthmag.org]
In men, symptoms, when they occur, can include a discharge from the penis and a burning sensation when urinating. Pain in the testicles sometimes occurs. [medicinenet.com]
The stinging and burning sensations are always present. They are accompanied by abdominal discomfort, fever, and malaise. Lesions usually heal with dark pigmentation that lasts for several months. [howgetrid.org]
- Seizure
Since lindane can cause seizures, it should not be used after a bath or in patients with extensive skin disease or rash. This is because the lindane might be absorbed into the blood stream through the wet or diseased skin. [emedicinehealth.com]
Syphilis that affects the brain is known as neurosyphilis, and may be characterized by headaches, seizures, personality changes, or dementia. [thebody.com]
Urogenital
- Chancroid
ICD-10-CM Codes › A00-B99 Certain infectious and parasitic diseases › A50-A64 Infections with a predominantly sexual mode of transmission › A57- Chancroid › Chancroid 2016 2017 2018 2019 Billable/Specific Code A57 is a billable/specific ICD-10-CM code [icd10data.com]
Host-pathogen interp... 266143009 Chancroid (disorder) 402954007 Penile chancroid (disorder) 402955008 Vulval chancroid (disorder) 240585002 chancroid - anogenital ulcer (disor... [5minuteconsult.com]
Epidemiology of Chancroid Chancroid occurs especially in tropical countries. Very rare in Europe or North America. Etiology Pathogen of Chancroid: Haemophilus ducreyi : immobile gram-negative bacteria, oval cocci arranged in a chain. [urology-textbook.com]
Chancroid Epidemiology Laboratory Diagnosis of Chancroid Treatment and Prevention of Chancroid Last Updated: Mar 21, 2019 Written by Dr. Tomislav Meštrović Dr. [news-medical.net]
Even though the incidence of chancroid in the United States decreased in the 1990s, there is an alarming connection between chancroid and human immunodeficiency virus ( HIV ) infection. [encyclopedia.com]
- Vaginal Discharge
Females with Chancroid may also experience symptoms such as pain during urination, vaginal discharge, pain when moving the bowels, or rectal bleeding. Both men and women can experience fevers and general tiredness with the illness. [wamhc.org]
Symptoms in women are often less noticeable and may be limited to painful urination or defecation, painful intercourse, rectal bleeding, or vaginal discharge. Chancroid can be treated effectively with several antibiotics. [medicinenet.com]
Others may not experience sores, but may develop symptoms such as vaginal discharge or rectal bleeding. How is chancroid treated? Chancroid is treated with antibiotics. If treatment is successful, the ulcers usually begin to improve within a week. [irishhealth.com]
- Dysuria
Exposure to an infected individual Local symptoms: dysuria, chancre (painful); inguinal lymph node swelling Women can be asymptomatic carriers Systemic symptoms often lacking Outpatient treatment Saline or Burow solution to soak ulcers Aspiration of buboes [5minuteconsult.com]
Men may develop transient mild to severe urethritis, dysuria, or urinary frequency. Treatment: Metronidazole by mouth is given to both sexual partners, prognosis is excellent. [med-help.net]
Additional symptoms associated with chancroid include: urethritis, or inflammation of the urethra abnormal vaginal discharge pain and bleeding of the sore dysuria, a condition caused by urethral inflammation To positively diagnose chancroid, a doctor [medicalnewstoday.com]
This can cause painful urination, also known as dysuria, dys-uria. Or let's say if it goes and irritates the cervix, inflammation there is called cervicitis, cervicitis. [khanacademy.org]
Initial manifestations include local pain, tenderness, itching sensation, and dysuria. The pain associated with dysuria in females is described as more of an “external pain”. [atsu.edu]
- Penile Lesion
The physical examination was normal except for the penile lesion. The patient denied any penile discharge and had one sexual partner who denied having any skin lesions or pruritus. [aafp.org]
Painful penile lesions are often sign of a sexually transmitted disease. Find Infectious disease-specialists near you Conditions that causes painful penile lesions includes Chancroid which is a bacterial infection. [zocdoc.com]
The following is a non-exhaustive (and likely with much overlap) summary of what we came up with: PAINFUL penile lesion Chancroid/H. ducreyi SJS/TEN drug lesion SCC Traumatic lesion/entrapment injury Ulcers in s/o foley HSV Paraphimosis PAINLESS penile [ucsfmed.wordpress.com]
Ulcerated Penile Lesions in Patient with Chancroid This photograph of a patient with chancroid shows three shallow ulcerated lesions that each have an erythematous base and a well-defined border. These lesions are typically painful. [std.uw.edu]
- Painful Penile Lesion
Painful penile lesions are often sign of a sexually transmitted disease. Find Infectious disease-specialists near you Conditions that causes painful penile lesions includes Chancroid which is a bacterial infection. [zocdoc.com]
The following is a non-exhaustive (and likely with much overlap) summary of what we came up with: PAINFUL penile lesion Chancroid/H. ducreyi SJS/TEN drug lesion SCC Traumatic lesion/entrapment injury Ulcers in s/o foley HSV Paraphimosis PAINLESS penile [ucsfmed.wordpress.com]
Workup
For this reason, it must be seriously considered if the rest of the workup is negative. He should also be offered a HIV screening examination. Dependent on the laboratory capability, these test results may not be available in a timely fashion. [epmonthly.com]
Ped Clin North Am 48:1539–1557 CrossRef Google Scholar Mingin GC, Hinds A, Nguyen HT, Baskin LS (2004) Children with a febrile urinary tract infection and a negative radiologic workup: factors predictive of recurrence. [link.springer.com]
Microbiology
- Hemophilus Ducreyi
The histomorphologic and immunophenotypic nature of the inflammatory infiltrates suggests that there is a significant role for cell-mediated immunity in the host response to Hemophilus ducreyi infection. [ncbi.nlm.nih.gov]
[…] chancroid of penis是什么意思 沪江词库精选chancroid of penis是什么意思、英语单词推荐 阴茎软下疳 例句 "chancroid:a soft, highly infectious, nonsyphilitic venereal ulcer of the genital region, caused by the bacillus Hemophilus ducreyi." 一种软而具高度传染性的生殖器官区的非梅毒性病溃疡,由细菌杜雷克嗜血杆菌引起. [hujiang.com]
Special culture medium (for details see reference below by Lautenschlager) need to be used and the laboratory should be made aware that Hemophilus ducreyi is suspected. [dermatologyadvisor.com]
Click on the icons to view shocking STD photos » Sexually Transmitted Disease Facts Chancroid is a type of genital ulcer disease caused by the Hemophilus ducreyi bacteria. Chancroid occurs more frequently in the developing world. [stdsincolor.com]
Treatment
Principal Treatment Options Situation Recommended Alternative Uncomplicated infection Azithromycin 1g PO, stat OR Ceftriaxone 500mg in 2mL of 1% lignocaine IMI, stat OR Ciprofloxacin 500mg PO, BD for 3 days Alternative regimens are not recommended Treatment [sti.guidelines.org.au]
Treatment of Chancroid Recommended antibiotic treatment of Chancroid: Azithromycin 1 g p.o. once Ceftriaxone 250 mg i.m. once Ciprofloxacin 500 mg p.o. 1-0-1 for 3 days Erythromycin 500 mg p.o. 1-1-1-1 for 7 days Resistance to antibiotic treatment is [urology-textbook.com]
You’ll also find expert guidance on new vaccines, screening techniques, treatment guidelines, and best practices in the field. [books.google.com]
Get clear, concise descriptions and evidence-based treatment guidelines for a full range of clinical conditions, ranging from the common to the unusual. [books.google.ro]
Treatment Of Skin Diseases. 2010. pp. 135-36. (A detailed description with references of first-, second- and third-line theraputic choices for treatment of chancroid.) “Sexually Transmitted Diseases Treatment Guidelines 2006”. [dermatologyadvisor.com]
Prognosis
Outlook (Prognosis) Chancroid can get better on its own. Some people have months of painful ulcers and draining. Antibiotic treatment often clears up the lesions quickly with very little scarring. [centurahealthinfo.org]
Prognosis In general, the outlook for patients presenting with secondary malignancy in the penis is very poor, irrespective of the site of primary and the type of therapy. [issoonline.biomedcentral.com]
Outlook (Prognosis) Chancroid can get better on its own. However, some people may have months of painful ulcers and draining. Antibiotic treatment usually clears up the lesions quickly with very little scarring. [indiatoday.in]
Etiology
Footnote 5 Diagnosis Clinical etiologic diagnosis is frequently erroneous; in Canada, careful etiologic investigation of an ulcer should be carried out, since chancroid is not known to be endemic. [canada.ca]
[…] superimposed Fusobacterium infection is present Do not confuse with chancre, a lesion typical of infection with syphilis Epidemiology Mainly in developing countries, particularly Africa, Asia and Latin America Associated with commercial sex workers Etiology [pathologyoutlines.com]
Etiology Pathogen of Chancroid: Haemophilus ducreyi : immobile gram-negative bacteria, oval cocci arranged in a chain. Signs and Symptoms Genital Ulcer: Chancroid leads to one or more deep purulent genital ulcer. [urology-textbook.com]
– probable traumatic Resolves with abstinence + May have temporal relation to an STD Dysesthetic Anogenital Syndrome + Abnormal sensation (tingling/burning/numbess/pruritus/pain) in anogenital area + Etiology: Neurogenic (CNS) Neuropathic (PNS) – Small [dermcast.tv]
Epidemiology
Abstract Chancroid, the most common cause of genital ulceration in Africa, is known to be associated epidemiologically with heterosexual transmission of human immunodeficiency virus (HIV). [ncbi.nlm.nih.gov]
Plummer FA, D’Costa LJ, Nsanze H, et al: Epidemiology of chancroid and Haemophilus ducreyi in Nairobi. Lancet 2 :1293–1295, 1983. PubMed CrossRef Google Scholar 10. [link.springer.com]
Overview MeSH Major Fluorodeoxyglucose F18 Neurofibromatosis 1 Positron-Emission Tomography abstract Chancroid, the most common cause of genital ulceration in Africa, is known to be associated epidemiologically with heterosexual transmission of human [vivo.med.cornell.edu]
Effectively diagnose all types of STDs and HIV/AIDS with approximately 1,100 images—most in full color and more than 30% new to this edition―that depict the epidemiology as well as the clinical manifestations of these diseases. [books.google.com]
Epidemiology of Haemophilius ducreyi infections. Emerg Infect Dis. 2016;22(1):1–8. Janowicz DM, Li W, Bauer ME. [5minuteconsult.com]
Pathophysiology
The pathophysiological mechanisms by which chancroid might facilitate the spread of HIV are obscure. [ncbi.nlm.nih.gov]
Pathophysiology Humans are the only known reservoir for S scabiei. [emedicine.medscape.com]
Background, Pathophysiology, Epidemiology. N.p., 09 Feb. 2017. Web. 16 Apr. 2017. Last Updated: 16 January 2018. [sexinfo.soc.ucsb.edu]
More common in Sub-Saharan Africa Southeast Asia Latin America Etiology and Pathophysiology Haemophilus ducreyi enters through abraded skin during sexual activity, attaching to susceptible cells. [unboundmedicine.com]
Prevention
Centers for Disease Control and Prevention. Centers for Disease Control and Prevention, 04 June 2015. Web. 16 Apr. 2017. "Chancroid." Background, Pathophysiology, Epidemiology. N.p., 09 Feb. 2017. Web. 16 Apr. 2017. Last Updated: 16 January 2018. [sexinfo.soc.ucsb.edu]
Prevention The best prevention for chancroid is to use a condom during sexual intercourse. Chancroid can also be prevented by abstinence (avoidance of any sexual contact) and by being in a monogamous relationship with a disease-free partner. [encyclopedia.com]
Some researchers have speculated that these products, designed for use prior to sexual intercourse to prevent infection, might also be used for postcoital or emergency STD prevention. [un.org]
Fig. from Public Health Image Library, Center for Disease Control and Prevention, USA, www.cdc.gov. [urology-textbook.com]