Ulcerative STDs
Revision as of 13:28, 14 March 2011 by Rossdonaldson1 (talk | contribs)
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)