Other names |
Soft sore, soft chancre |
Cause |
Bacteria - Haemophillus ducreyi |
Distribution |
Countries with warm humid climates
for example Africa, Asia and South America. |
Transmission |
Sexual |
Incubation: |
3 - 7 days |
Symptoms |
Multiple painful ulcers and painful
swollen lymph glands (buboes) in one or both groins. The ulcers
are irregular in outline, covered with pus and bleed easily. |
Diagnosis |
- Physical examination
- Microscopic examination of the pus
- Culture for Haemophillus ducreyi
- Blood test to exclude syphilis
|
Treatment |
Co-trimoxazole (a sulphonamide containing
antibiotic) and tetracycline by mouth or injections of streptomycin
or a cephalosporin antibiotic.Analgesics (painkillers) can be
taken to relieve pain. Drainage of buboes (lymph glands) if they
become pus-filled. Careful cleaning with saline (prepared by
dissolving one teaspoonful of table salt in one pint of water)
will aid healing. |
Complications |
- Buboes may rupture.
- Ulcers on the fireskin may cause
severe sweklling of the foreskin and strangulation of the shaft
of the penis. Immediate surgery is required to relieve
the constriction.
|
Comments |
Chancroid and syphilis may occur
together. Blood tests are therefore routinely performed to exclude
syphilis. |