Name of the Condition

• Chancroid; also known as soft chancre.

Summary

• Chancroid is a bacterial sexually transmitted infection (STI) characterized by painful ulcers on the genitalia and swelling of the inguinal lymph nodes.

Causes

• The condition is caused by the bacterium Haemophilus ducreyi.

Risk Factors

• Engaging in unprotected sexual activity, particularly with multiple partners.
• Residing in or traveling to regions where chancroid is more prevalent, such as parts of Africa and Southeast Asia.

Symptoms

• Development of soft, painful sores or ulcers on the genital area.
• Swelling and tenderness in the lymph nodes of the groin, potentially leading to abscess formation.

Diagnosis

• Clinical examination of symptoms.
• Laboratory tests, including cultures or PCR (polymerase chain reaction) to detect H. ducreyi.

Treatment Options

• Antibiotics such as azithromycin, ceftriaxone, ciprofloxacin, or erythromycin are commonly used to treat chancroid.
• Treatment helps to clear the infection, heal ulcers, and prevent transmission.

Prognosis and Follow-Up

• With appropriate antibiotic treatment, chancroid typically resolves without long-term effects.
• Follow-up may be necessary to ensure resolution and to treat any complications.

Complications

• If untreated, chancroid can lead to permanent scarring or disfigurement.
• Increased risk of transmitting and acquiring other STIs, including HIV.

Lifestyle & Prevention

• Practicing safe sex methods, such as consistent condom use.
• Regular STI check-ups if sexually active with multiple partners or in high-risk areas.

When to Seek Professional Help

• Immediate medical attention should be sought if painful sores develop in the genital region or if there is significant swelling in the groin.

Additional Resources

• Centers for Disease Control and Prevention (CDC): www.cdc.gov
• World Health Organization (WHO): www.who.int

Tips for Medical Coders

• Ensure the accurate identification of chancroid symptoms through patient records and laboratory results for coding.
• Avoid coding errors by distinguishing chancroid from other ulcerative STIs like syphilis or herpes.