A 51 years old Male Diagnosed with Chancroid by Simple Examination

Authors

  • Ammarilis Murastami Departement of Dermatovenereology, Faculty of Medicine, Sebelas Maret University, Dr. Moewardi General Regional Hospital, Surakarta, Indonesia.
  • Elok Nurfaiqoh Sebelas Maret University

Keywords:

Chancroid, Gram stain, railroad track

Abstract

Introduction: Chancroid is infection caused by Haemophylus ducreyi. Diagnosis depends on the identification of H. Ducreyi hrough laboratory cultures. The difficulties of diagnosis causing by rarity of its presentation.  This case shows the diagnosis of chancroid with a simple examination. Case: A 51 yeasr old man with painful ulcer in penile shaft. He had unprotected sexual activity with sexual workers. The lession shows 2-3 mm ulcer with purulent discharge. Graim stain showed gram negative in chains formations. VDRL, TPHA and HIV test were negative. We were given Azuthromycin 1 gram orally in single dose, mefenamic acid 500 mg three times daily and compress normal saline twice per day. Patient had recovery after 3 days. Discussion: Chancroid is painful ulcer and bacteri enters during sexual intercourse. Laboratory examination like culture of organism and PCR assay are costly and not commonly available. Microscopy examination is simple test and show railroad track. The presumptive criteria for chancroid are one or more painful genital, test for Treponema pallidum is negative, clinical presentation is typical for chancroid and test for herpes show negative results. In this case, patient have a painful ulcer with purulent discharge, history unprotected sexual activity with sexual worker, VDRL/TPHA test is negative, Gram-stain show coccobacillus in rail road track and have recovery in 3 days after azithromycin treatment. Conclusion: Simple examination can help doctor to diagnose chancroid especially who work with limited facilities. We can treat as a chancoid when the presumptive is establish.

References

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Published

2023-07-02

How to Cite

1.
Murastami A, Nurfaiqoh E. A 51 years old Male Diagnosed with Chancroid by Simple Examination. J Pak Assoc Dermatol [Internet]. 2023Jul.2 [cited 2025Feb.7];33(2):780-2. Available from: http://www.jpad.com.pk/index.php/jpad/article/view/2174

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Section

Case Reports