Chancroid or chancroid - Causes, Symptoms and Treatment .MF .
soft chancre or chancroid - a sexually transmitted disease.As you know, sexually transmitted, and can asexually, by contact.At this time in Russia it is rare, but more in developing countries with subtropical and tropical climates: Central and South America, Africa.But given the open borders, we have about it is necessary of course to remember.
"culprit" of this disease is a stick Haemophilus ducrey.It is little resistant to high temperatures, with heat 40 die quickly, but low well tolerated.Also nice is opposed to various chemical solutions.For example 0.25% of formalin solution "kills" her forty minutes.
Symptoms of chancroid
incubation period (hidden) this illness lasts 4 - 7 days.It is believed that a condition for the introduction of the pathogen should be micro-cracks in the skin and mucous membranes.Manifested chancroid, in most cases, multiple ulcers with purulent discharge and increasing the nearby lymph nodes.Suffering and general: fever, headache.Lymph nodes and ulcers are painful on palp
Increased lymph nodes when chancroid
sores have different shapes, are surrounded by an inflammatory halo.If you notice in yourself or God forbid, the above symptoms, immediately go to the reception to the dermatologist.Given the rarity of the disease, the diagnosis does not put you and proper treatment will be.Very easily it can be confused with syphilis or herpes.With syphilis, by the way, a chancre, as well as lymph nodes, painless.Treatment of these two forms, unlike chancroid, is not the same.
Features chancroid leakage during pregnancy will be very similar in behavior.Its presence complicates the course of pregnancy.
diagnosis of chancroid
main method of diagnosis is the detection of the pathogen in the discharge of ulcers.Sometimes using the culture method - growing the bacteria on the introductory media.It is necessary to hand over analyzes on all diseases, sexually transmitted diseases.Very often a combination of several diseases.
Treatment of chancroid
Without antibiotics in the treatment of chancroid can not do.It aminoglycosides (gentamicin, kanamycin), macrolides (azithromycin, as the drug of choice in pregnancy is erythromycin), a series of tetracycline (doxycycline, tetracycline), cephalosporins (ceftriaxone).Just use antimicrobials (sulfadimetoksin, Biseptol).These two groups are often combined.
In therapy chancroid matters and local treatment (treatment of ulcers of a weak solution of potassium permanganate + antibiotic ointments).Vitamin (B1, B6, B12).
during treatment is not permitted sexual activity and use of alcohol.Necessarily, given the discharge from yazyazvlennyh foci, frequent changes nastelnogo and bedding, with their long boiling.
After treatment, there is observation of the patient is not menne six months with monthly analyzes of the surrender.
Treatment folk sredsva, as you know, especially in the conditions of the Russian Federation, where the disease is rare, is overdue.And in the African context, probably not.Without antibiotic treatment bezsmyslenno.Especially if chancroid is a lot of complications.
When joining a secondary infection occurs "gangrenous chancre", when the death of the tissues occurs.Phimosis - inability to open the head of the penis, paraphimosis - close it.The latter condition leads to disruption of blood circulation in the penis, followed by castration.This situation requires urgent surgical intervention to prevent loss of the member.Later, because of the scarring can be difficult and sexual life as broken head mobility.
In far-advanced cases, as a result of inflammation of the lymph nodes, fistula formation ( "holes") in their long-healing.inflammation process can affect the skin and subcutaneous tissues (erysipelas), which goes into elephantiasis - with their progressive thickening, as a consequence of chronic lymphatic stagnation.Hit infection in all organs and systems leads to blood poisoning.
We have found that chancroid pathogens resistant to chemicals.Therefore, the primary method of prevention is - abstinence from casual sex, especially in tourist travel and the use of condoms.
Consultation of dermatologist for chancroid
Question: You said that the causative agent of chancroid do not work or are bad chemicals.Why then ulcers during treatment are treated with different solutions?
Answer: Good question.We have prisoedeneniya aim of preventing secondary infection, and prevention of this complication.
Question: If one partner discovered the disease and another does not.Do I have to treat it?
A: Regardless of whether the disease is detected or not, all the people who were in sexual contact with a patient treated with it.
Q: What profession at risk?
A: All who have contact with blood and human tissues.First, doctors.The same people who were working in foreign travel in the above regions.
dermatologist A. Mansurov