Chancroid in Emergency Medicine Follow-up

Updated: Jul 26, 2016
  • Author: Andrew D Nguyen, MD; Chief Editor: Barry E Brenner, MD, PhD, FACEP  more...
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Follow-up

Further Outpatient Care

Patients should have outpatient follow-up within 1 week to review culture results and evaluate progress of healing of ulcers. [17] Once again, HIV patients and uncircumcised male patients may not respond as well to treatment. Patients should be tested for HIV at the time of diagnosis. If the screening test is negative, they should be retested for HIV and syphilis in 3 months. [11]

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Deterrence/Prevention

Patients need to be educated about safe sex practices.

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Complications

Scarring, phimosis, balanoposthitis, ruptured buboes with severe pain, and fistula formation are complications. Sexual dysfunction due to scar formation may also occur.

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Prognosis

Chancroid can be cured with early antibiotic treatment in immunocompetent patients. If chancroid has already progressed to later stages, or if the host is immunocompromised, treatment may fail, resulting in any of the aforementioned complications.

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Patient Education

Topics of patient education should include, but are not limited to, condom use, regular genital self-examination, risky behaviors, and informing past and present partners.

For patient education resources, see the Sexually Transmitted Diseases Center and Pregnancy and Reproduction Center, as well as Birth Control Overview, and Birth Control FAQs.

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