Chancroid is a highly contagious yet curable sexually transmitted (STD) caused by the bacterium Haemophilus ducreyi.Chancroid causes ulcers, usually of the genitals. Swollen, painful lymph nodes, or groin bubo , in the groin area is often associated with chancroid. Left untreated, chancroid may facilitate HIV transmission.

How common is it?

Chancroid is very common in Africa, and widespread in the United States.

How is chancroid?

Chancroid is transmitted in two ways:

• The sexually transmitted through skin-to-skin contact with an open wound (s).
• Non-sexual transmission as the fluid-like pus from the ulcer move to other parts of the body or another person.

A person is considered contagious when sores are present. There was illness in babies born to women with active chancroid at time of delivery.

What are the signs or symptoms of chancroid?

Symptoms usually occur within 4-10 days * after exposure. They rarely develops earlier than three days or later than 10 days.

• The sore begins as a bump or offer high papule that becomes a pus-filled, open sore with eroded or irregular edges.
• The ulcer is soft to the touch (unlike a syphilis chancre that is hard or rubber). Chancroid is a common term used to describe pain in chancroid.
• The sores can be very painful in men, but women are often unaware of them.
• Because chancroid is often asymptomatic in women, who may be unaware of the lesion (s).
• Lymph glands may occur in the groin, usually on one side, but can occur on both sides.

How is chancroid diagnosed?

Diagnosis is made by isolating Haemophilus ducreyi in a culture of a genital ulcer. The chancre is often confused with syphilis, herpes or lymphogranuloma venereum, therefore, it is important that your health care of these diseases in the state.

Gram stain to identify H. ducreyi is possible, but can be misleading, because other organisms may be found in most genital ulcers.

What is the treatment for chancroid?

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Chancroid can be treated with antibiotics. Successful treatment cures the infection, resolves symptoms and prevent transmission to others. Treatment regimens may include the following: azithromycin, ceftriaxone, ciprofloxacin (not recommended for pregnant or breastfeeding, or people younger than 18 years) and erythromycin base.

A follow-up should be performed three to seven days after starting treatment. 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 wound. Serious injuries may require two weeks or longer to heal. In severe cases, scarring may result. Partners should be examined and treated, regardless of whether symptoms are present.

How to prevent chancroid?

• Abstinence (not having sex)
• Mutual monogamy [sex with an uninfected partner]
• Latex condoms for vaginal, oral and anal sex. The use of latex condoms can protect the penis or vagina from infection, but does not protect other areas such as the scrotum or anal area. Chancroid lesions may occur in genital areas that are covered or protected by a latex condom, but may also occur in areas not covered or protected by the condom. Latex condoms, when used consistently and correctly, can reduce the risk of chancroid, herpes, genital syphilis and genital warts, only when the infected areas are covered or protected by the condom.

If you get chancroid, avoid contact with the infected area to prevent the possibility of infection spreading to other parts of the body.

Why bother?

Chancroid has established itself as a cofactor for HIV transmission. In addition, people with HIV may experience slower healing of chancroid, even with treatment, and may need to take drugs for a long period of time. Complications of canker include:

• In 50 percent of cases, lymph nodes in the groin become infected within five to eight days of initial pain.
• Glands on one side, enlarged, hard, painful and fuse to form a bubo (BEW-bo), inflammation and swelling of one or more lymph nodes in the skin over red. Surgical drainage of buboes may be necessary to relieve pain.
• Outside buboes are susceptible to secondary bacterial infections.
• In uncircumcised men, scar tissue can lead to new phimosis [narrowing of the foreskin so can not be brought back on the head of the penis]. Circumcision may be necessary to rectify this situation.

What should I tell my partner?

You should talk to your partner when you learn you have chancroid. Telling a partner can be difficult, but it is important that you talk to your partner as soon as possible so that he or she can receive treatment.

How can I solve this with my healthcare provider?

If you have a genital ulcer or a painful, swollen lymph nodes, you must talk to your doctor if you should be tested. However, it is important to remember that some people, especially women, are asymptomatic. If you have unprotected sex or discover that a partner has unprotected sex with another person, you should consult your doctor tested for sexually transmitted diseases.

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