Ulcerative STDs

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Chancroid

HSV (usually type 2)

  1. multiple painful lesions
  2. no buboes (occ shoddy LAD)
  3. more common in African Americans
  4. starts with small clumps of blisters that may have been preceded with local pain, tingling, itching, and burning
  5. +/- constiutional symptoms (fever, fatigue, myalgias, headaches)
  6. Treatment:
    1. antivirals
    2. acyclovir
    3. famciclovir
    4. valacyclovir
    5. pain medications

HSVmale.jpg

Syphilis

  1. Cause: Treponema pallidum
  2. single nonpainful lesion with punched out base and rolled edges (lesion is highly infectious)
  3. Treatment:
    1. Benzathine penicillin G 2.4 million units IM x 1 (for primary or secondary infection)

Source

Tung 7/2010 (adapted from emedicine)

DONALDSON 5/4/07 (adapted from Birbaumer)

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