Genital ulcer disease: Difference between revisions

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Line 9: Line 9:
 
!Treatment
 
!Treatment
 
|-
 
|-
  +
! colspan="5" |Painless
|[[Herpes simplex virus]]
 
|genital herpes
 
|95%
 
|2-7 days (1º)
 
|
 
 
|-
 
|-
 
|[[Treponema pallidum pallidum]]
 
|[[Treponema pallidum pallidum]]
Line 20: Line 16:
 
|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 12:14, 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