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Causes
Chancroid is a bacterial infection caused by the fastidious Gram-negative streptobacillus Haemophilus ducreyi. It is a disease found primarily in developing countries. It first found in commercial sex workers and their clientele, after that it spread by sex workers client in another part of the world.Infection levels are low in the western world, typically around one case per two million of the population. This illness is very in Canada, France, UK and USA.
Uncircumcised men are at three times greater risk than circumcised men for contracting chancroid from an infected partner. Chancroid is a risk factor for contracting HIV, due to their ecological association or shared risk of exposure, and biologically facilitated transmission of one infection by the other.
Symptoms
The common symptoms in men and women are-
Symptoms usually occur within 10 days from exposure. They rarely develop earlier than three days or later than 10 days.
The ulcer or sore begins as a tender, elevated bump, or papule that becomes a pus-filled, open sore with eroded or ragged edges.
In women the most common location for ulcers is the labia majora.Kissing ulcers may develop. The most common symptoms in women are pain with urination and pain with intercourse.
Approximately half of the infected individuals will develop enlargements of the inguinal lymph nodes, the nodes located in the fold between the leg and the lower abdomen.
Treatment
The infection is treated with antibiotics including azithromycin, ceftriaxone, ciprofloxacin, and erythromycin. Large lymph node swellings need drainage either by needle or local surgery.
A follow-up examination should be conducted three to seven days after treatment begins. If treatment is successful, ulcers usually improve within three to seven days. The time required for complete healing is related to the size of the ulcer. Large ulcers may require two weeks or longer healing. In severe cases, scarring may result.
Partners should be examined and treated regardless of whether symptoms are present.
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