Document 0632
 DOCN  M9460632
 TI    [Soft chancroid: 4 clinical cases]
 DT    9404
 AU    Manget Velasco CS; Borbujo Martinez J; Manzano de Arostegui JA; Calderon
       Ubeda J; Toribio Da Pena R; Casado Jimenez M; Centro de Salud V
       Centenario, San Sebastian de los Reyes,; Madrid.
 SO    Aten Primaria. 1993 Dec;12(10):667-70. Unique Identifier : AIDSLINE
       MED/94162465
 AB    OBJECTIVE. The presentation of four clinical cases of chancroid
       confirmed by means of a culture for Haemophiullus Ducrey and the
       checking of its clinical and epidemiological characteristics. SETTING.
       Dermatology Clinic at the V Centenario Health Centre, San Sebastian de
       los Reyes, Madrid. PATIENTS AND OTHER PARTICIPANTS. Four clinical cases
       collected between 1988 and 1992. They were characterised by the very
       painful ulcers on the penis which appeared from 10 to 15 days after
       possible infection. Two of them had been previously treated with
       penicillin but showed no improvement. MEASUREMENT AND MAIN RESULTS.
       Clinical records were consulted and the diagnosis was confirmed by means
       of microbiological culture. Analyses including VDRL and HIV serologies
       were performed. All the patients were male: the location was the
       balanopreputial furrow. In two cases the lesion and the secondary
       adenopathy were single. In the four the general analysis was normal and
       serology for syphilis negative. Two were HIV positive. All were cured
       with a single dose of Ceftriaxon. CONCLUSIONS. Even though the chancroid
       is not common in our field, it must be identifiable so that a proper
       differential diagnosis of all genital ulcers can be made, with
       confirmation by means of a culture in a specific medium. The present
       first line treatment should be in reach of the Public Health System's
       family doctors and be initiated at once, given that genital ulcers are a
       risk factor in HIV transmission. Additionally these patients' HIV
       antibodies should be studied.
 DE    Adult  Case Report  *Chancroid/DIAGNOSIS/THERAPY  English Abstract
       Human  Male  Support, Non-U.S. Gov't  JOURNAL ARTICLE  REVIEW  REVIEW,
       TUTORIAL

       SOURCE: National Library of Medicine.  NOTICE: This material may be
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