What should a person do if exposed to someone with chancroid?

If a person finds himself or herself exposed to someone with Chancroid some necessary steps should be taken to cure or at least to prevent the disease. A person should abstinence from having sex, should follow mutual monogamy that is to have sex with only one uninfected partner. Water-based spermicides should be used for vaginal coition. Use of spermicide is not suggested nor is it found to be effectual for oral or anal intercourse.

A person can also use latex condoms for vaginal, anal and oral sex. Penis and vagina can be protected from infection by using latex condoms, but that doesn’t protect other parts of the body such as the scrotum or anal area.

The best way so far is to avoid any kind of physical contact with the infected person. And if you happen to be infected from chancroid, avoid contact with the infected area to check possibility of autoinoculation.

Symptoms of Chancroid usually appear within 10 days from exposure. They seldom develop earlier than 3 days or later than ten days. The ulcer develops as a soft, elevated bump, or zit, that goes pus-filled, open sore with gnarled or tattered edges. It is soft to the touch distinct to a syphilis chancre which is firm or gristly.

As soon as the symptoms began to occur a diagnosis test must be conducted to detect the disease or infection present in the body. Diagnosis of Chancroid is done by separating the bacteria Hemophilus Ducreyi (pronounced hum-AH-fill-us DOO-cray) from a genital ulcer in a culture.

Since the treatment is done by antibiotics, a follow-up examination is conducted 3 to 7 days after treatment begins. If the treatment works then within 7 days the ulcers will began to heal and improve.

You should discuss it with your partner as soon as you have learnt about your chancroid infection. Telling your partner can be really difficult, but it’s important for you to talk to your partner as soon as possible so that she or he can follow prevention or if infected should get the treatment done.

If you suffer from a genital ulcer or painful, inflamed lymph nodes, you should talk to your doctor regarding whether or not you should go for a test. But in most of the cases the patients are asymptomatic. If you are having unprotected sex or find out that your partner is having unprotected sex with another person, you should ask your doctor about getting tested.

How is Chancroid treated?

Luckily Chancroid can be cured, if you treat it at the early stages. The treatment is done by antibiotics, when caught early. You will not spread the disease further if after following the treatment the successful signs of the disease go away. It is very necessary to complete the medical regime from start to finish which the doctor provides you in order to completely cure the disease. And to cure it completely it is important to follow the instructions of the doctor.

Antibiotics are used in the treatment of Chancroid. The ulcers generally begin to recover in a week, if everything goes well in the treatment regime. The healing of the ulcers depends upon their size. The larger the ulcer, the longer it will take to heal.

Examinations of the patients are normally done 3-7 days after treatment to find out whether the treatment is successful and the medications are working or not. The treatment might not work if the medical regime is not followed properly. The treatment may also fail if the patients’ infection is invulnerable to the antibiotics with which they are treated with. People with HIV/AIDS and the uncircumcised male patients most of the time are resistant to the antibiotics and do not respond as well to treatment as others. They might need extra follow-up for the treatment.

If you experience the symptoms of Chancroid and later on diagnosed with Chancroid then any sexual partners you had within 10 days before you started to have symptoms, should undergo diagnosis and examination and treated as well – whether or not they experience any symptoms.

Some of the health concerned organizations has mentioned some medical regimens for the treatment of Chancroid. The drug regimens below are taken from the Centers for Disease Control (CDC) 2006 STD treatment guidelines. The regimens provided here are only for informational purpose. It’s not prescribed or suggested to use them without prior information from your doctor. Remember that only your doctor can say which treatment is right for you.

Recommended Regimens

Azithromycin 1 g orally in a single dose
Ceftriaxone 250 mg intramuscularly (IM) in a single dose
Ciprofloxacin* 500 mg orally two times a day for 3 days
Erythromycin base* 500 mg orally thrice a day for 7 days

*Some forms of the bacterium Haemophilus ducreyi that causes Chancroid have been reported to be resistant to these antibiotics. Pregnant women should not be given or treated with ciprofloxacin. The successful treatment of Chancroid cures the infection, resolves the symptoms and prevents transmission.

How can Chancroid be diagnosed?

Symptoms of Chancroid generally appear within 10 days from the exposure. Chancroid hardly ever develops earlier than 3 days or later than ten days. The Chancroid ulcer develops as a soft, raised bump, or hickey, that tends to become a pus-filled, open sore with scoured or tattered edges. It is tender to feel (dissimilar to a syphilis chancre which is stiff or rubbery). The term soft chancres are often used to portray the chancroid sores.

Painful lymph glands may appear in the groin, generally only on one side; though, they can occur on both the sides.

Chancroid ulcers can be very excruciating in men but women are generally ignorant of them. Since Chancroid is regularly asymptomatic in women, they are often unaware of the abrasion(s). Some of the women may not experience sores, but may well develop symptoms such as vaginal discharge or rectal bleeding.

Diagnosis of Chancroid is done by sequestering the bacteria Hemophilus Ducreyi (pronounced hum-AH-fill-us DOO-cray) by culturing it from a genital ulcer. The chancre is frequently misunderstood as syphilis, herpes or lymphogranuloma venereum; thus, it is essential that your health care provider harness these diseases out.

Most doctors identify chancroid on the basis of the occurrence of the sores. On the other hand, it is also possible for health care providers to test or examine for chancroid by taking a scrub of a genital ulcer and testing it for the bacterium Haemophilus ducreyi – the kind of bacteria which causes chancroid. A gram stain for identifying Haemophilus ducreyi is possible but can be confusing because of other germs found in most of the genital ulcers.

Diagnosis can also be made if the following symptoms occur. But test is the sure fire way for diagnosing Chancroid. The symptoms of chancroid include:

One or more juts that turn into ulcers within one to two days of their occurrence.

  • ulcers that range up to 2 inches across in size
  • ulcers are painful
  • ulcers may be confined to a particular area or may spread to other areas
  • the base of the ulcer is covered in yellow or grey stuff
  • the base of the ulcer bleeds easily if scratched
  • multiple ulcers are more common in women

When ulcers appears inside the vagina:

  • pain and bleeding during intercourse
  • pain during urination
  • Inflamed lymph nodes in the part between the leg and stomach.
  • these may crack and become abscesses

If you experience genital ulcers or painful, swollen lymph nodes, you may need to discuss it with your doctor whether or not you should undergo a test.

What is chancroid?

Chancroid (“shan-kroid”) is a little-known, highly contagious, yet curable sexually transmitted genital ulcer disease caused by the bacterium Haemophilus ducreyi [Pronounced hum-AH-fill-us DOO-cray]. Chancroid causes ulcers, generally in the genital areas. Swollen, painful lymph glands, or inguinal buboes [pronounced in-GWEEN-al BEW-boes], in the groin area are regularly related with chancroid. It is characterized by the growth of ulcers or chancres on the genital areas which can be very painful, and is thus sometimes known as “soft chancre”. The open sores caused by chancroid similar to syphilis increase the person’s risk of getting other sexually transmitted infections (STIs). If it is left untreated, chancroid may facilitate the transmission and infection of HIV/AIDS.

Chancroid can be transmitted sexually if there is a skin-to-skin contact with open sores.

Chancroid is infectious as long as the infected person has any open sores. The open sores contain bacteria and any contact with these sores results in chancroid infection.

Chancroid exits all over the world, but is most widespread in the Third World and developing countries. Though choncroid is not usually seen in the U.S., it is a rather a common disease in the developing nations. It is very common in Africa and is becoming more common in the United States.

Sporadic irruptions of chancroid have taken place in the United States, the last one being in the late 1980s. These outbreaks generally occur in minority populace in the internal cities, particularly in the southern and eastern region of the country. Worldwide, this disease is widespread in sub-Saharan Africa amongst the men who have regular contact with the prostitutes.

Transmission of Chancroid takes place in two ways:

a) Sexual transmission through skin-to-skin contact with open sores. It is much possible for the bacteria to invade the sexual organs at the point of a pre-existing injury, such as a small cut or scrape. The probability of transmission or infection is much higher if a person is sexually very active and does not practice safe sex and personal hygiene. Any sexually active person can be infected with chancroid. It is more commonly seen in men than in women, particularly in among the uncircumcised males.

b) Non-sexual transmission by means of autoinoculation when contact is made with the pus-like fluid from the ulcer.

A person is regarded to be infected if there’re ulcers present in the body. There has been no account of the disease in babies born to women with active chancroid at time of pregnancy or delivery.