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Today's health topic::
He Got "Chancroid" On His Penis.
A male patient of mine just returned from Latin America on a trip. He is a single guy, and as expected, he met a pretty little Columbian girl while he was there, and they became - quite close. While that all sounds romantic, it did not end up so well.
Two days after returning to the United States, he noticed a small red spot appear on the end of his penis... he did not give it much thought, until later that night when the spot had doubled in size. He was concerned, since he did not use condoms with his new friend; the condition worsened, so he made an appointment for a look see.
I suspected he had contracted a sexual transmitted disease called "Chancroid". I checked the patients inguinal lymph nodes (the nodes in the fold between the leg and the lower abdomen) and they were very swollen. Most patients with "Chancroid" have swelling of the inguinal lymph nodes which progresses to a point where the nodes break through the skin, producing draining abscesses. His condition had not reached that state so I prescribed azithromycin for him, but other drugs such as ceftriaxone, ciprofloxacin, and erythromycin also work on this condition. If the large lymph node swell too large, they need to be drained, either with a needle or local surgery.
In men, those with uncircimsed penis' have a higher risk of getting chancroid from their partners, the sores usually appear on the foreskin, or around the head, or top of the penis. Women will develop sores (ulcers) on the outer lips of the vagina, the inner vagina lips, the area between the genitals and the anus, and inner thighs.
Antibiotic treatment usually clears up the lesions quickly with very little scarring. Left unattended, the situation will escalate until your lymph nodes explode. Some people may have months of painful ulcers and draining.
-- Letter from - San Diego, CA (2009)Chancroid (bacterial disease)
Who is likely to get Chancroid?
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