Genital ulcer disease: Difference between revisions

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!Treatment
!Treatment
|-
|-
! colspan="5" |Painless
|[[Herpes simplex virus]]
|genital herpes
|95%
|2-7 days (1º)
|
|-
|-
|[[Treponema pallidum pallidum]]
|[[Treponema pallidum pallidum]]
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|3-90 days
|3-90 days
|[[penicillin]] 2.4 MU IM once
|[[penicillin]] 2.4 MU IM once
|-
|[[Haemophilus ducreyi]]
|chancroid
|<1%
|5-14 days
|
|-
|-
|[[Chlamydia trachomatis]] serovars L1-L3
|[[Chlamydia trachomatis]] serovars L1-L3
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|3-30 days
|3-30 days
|[[doxycycline]] 100 mg PO bid for 21 days
|[[doxycycline]] 100 mg PO bid for 21 days
|-
! colspan="5" |Painful
|-
|[[Herpes simplex virus]]
|genital herpes
|95%
|2-7 days (1º)
|[[acyclovir]] or [[valacyclovir]] for 5 to 10 days
|-
|[[Haemophilus ducreyi]]
|chancroid
|<1%
|5-14 days
|[[ciprofloxacin]] 500 mg PO once
|-
|-
|[[Klebsiella granulomatis]]
|[[Klebsiella granulomatis]]

Revision as of 16:14, 3 December 2020

Differential Diagnosis

Sexually-Transmitted Infections

Organism Disease % Incubation Treatment
Painless
Treponema pallidum pallidum primary syphilis 1% 3-90 days penicillin 2.4 MU IM once
Chlamydia trachomatis serovars L1-L3 lymphogranuloma venereum <1% 3-30 days doxycycline 100 mg PO bid for 21 days
Painful
Herpes simplex virus genital herpes 95% 2-7 days (1º) acyclovir or valacyclovir for 5 to 10 days
Haemophilus ducreyi chancroid <1% 5-14 days ciprofloxacin 500 mg PO once
Klebsiella granulomatis donovanosis (granuloma inguinale) <1% 1-180 days azithromycin 1 g PO weekly for 21 days (and healed)

Other Infectious Causes

Non-Infectious Causes

Further Reading