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• DEFINATION
  
• CAUSES
  
• INCUBATION PERIOD
  
• SYMPTOMS
  
• DIFFERENTIAL DIAGNOSIS
  
• SPECIAL INVESTIGATIONS
  
• TREATMENT

 

DEFINATION:

Chancroid is a soft,infectious,non-syphilitic venereal ulcer in the genital region caused by bacillus Haemophilis duceryi.

CAUSES:

• The causative organism is Haemophylis Ducreyi which is gram negative cocco bacillus.

• This is a disease found mostly in developing associated with commercial sex workers and there clients.
• Uncircumcised men are at three times greater risk than circumcised men for contracting chancroid from an infected partner.
• In African cases association has been setup between chancroid and HIV infection.

INCUBATION PERIOD:

About 3 to 5 days it may be as short as 24 hours.

SIGNS & SYMPTOMS

• After sexual contact as the incubation period is over ,few small red papules or pustules appear on the genitalia and surrounding skin.
• Within few days these are converted into necrotic ulcers with undermined edges.
• The floor containd yellowish slough.
• The margins of the ulcer shows red erythema and there may be red flush in the vicinity of the lesion.
• From auto inoculation,multiple ulcers develop,called sattelite ulcers in the rossette pattern.
• These ulcers are always painfull.
• The local inguinal lymphnodes are enlarged and sometimes suppurate(bubo)
• During lymphadenopathy fever may come with chills and malaisse may develop

DIFFERENTIAL DIAGNOSIS:

The shorter incubation period,presence of pain and absence of induration are characteristic differentiating points from syphilis.

SPECIAL INVESTIGATIONS:

• Smear examination from the lesion may show causative organisms
• The pus can be cultired in the enriched media.
• FNAC from the local lymph nodes can also be done and cultured.

TREATMENT:

Allopathic treatment:

The CDC recommendation for chancroid is a single oral dose (2 tablets) of Azithromycin or a single IM dose of Ceftriaxone or oral Erythromycin for seven days.

Ayurvedic treatment: