Chancroid history and symptoms

Chancroid Microchapters
Home
Patient Information
Overview
Historical Perspective
Pathophysiology
Causes
Classification
Differentiating Chancroid from other Diseases
Epidemiology and Demographics
Risk Factors
Natural History, Complications and Prognosis
Diagnosis
History and Symptoms
Physical Examination
Laboratory Findings
Other Diagnostic Studies
Treatment
Medical Therapy
Prevention
Cost-Effectiveness of Therapy
Future or Investigational Therapies
Case Studies
Case #1
Chancroid history and symptoms On the Web
Most recent articles
Most cited articles
Review articles
Programs
Powerpoint slides
Images
American Roentgen Ray Society Images of Chancroid history and symptoms All Images X-rays Echo & Ultrasound CT Images MRI
Ongoing Trials at Clinical Trials.gov
US National Guidelines Clearinghouse
NICE Guidance
FDA onChancroid history and symptoms
CDC onChancroid history and symptoms
Chancroid history and symptomsin the news
Blogs onChancroid history and symptoms
Directions to Hospitals Treating chancroid
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:

• Erythematous papules
• Pustules
• Ulcers

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.