Ulcerative STDs: Difference between revisions
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### Cetriaxone 250 mg IM x 1 with Erythromycin 500 mg PO QID x 7 days OR | ### Cetriaxone 250 mg IM x 1 with Erythromycin 500 mg PO QID x 7 days OR | ||
### Ciprofloxacin 500mg PO BID x 3 days | ### Ciprofloxacin 500mg PO BID x 3 days | ||
[[File:Chancroidmale.jpg|200px|thumb|left|alt text]] | |||
==HSV (usually type 2)== | ==HSV (usually type 2)== | ||
# multiple painful lesions | # multiple painful lesions |
Revision as of 16:50, 30 July 2013
Chancroid
- cause: H ducreyi
- multiple painful lesions
- painful inguinal lymphadenopathy (buboes) that may become an abscess and rupture
- Treatment:
- clean area with soap and water
- I&D any fluctuant buboes
- treat for other STDs as well
- Antibiotics:
- Azithromycin 1g PO x 1 OR
- Cetriaxone 250 mg IM x 1 with Erythromycin 500 mg PO QID x 7 days OR
- Ciprofloxacin 500mg PO BID x 3 days
HSV (usually type 2)
- multiple painful lesions
- no buboes (occ shoddy LAD)
- more common in African Americans
- starts with small clumps of blisters that may have been preceded with local pain, tingling, itching, and burning
- +/- constiutional symptoms (fever, fatigue, myalgias, headaches)
- Treatment:
- antivirals
- acyclovir
- famciclovir
- valacyclovir
- pain medications
Syphilis
- Cause: Treponema pallidum
- single nonpainful lesion with punched out base and rolled edges (lesion is highly infectious)
- Treatment:
- 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)