Chancroid: Difference between revisions

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## [[Ceftriaxone]] 250 mg IM x 1 with Erythromycin 500 mg PO QID x 7 days OR
## [[Ceftriaxone]] 250 mg IM x 1 with Erythromycin 500 mg PO QID x 7 days OR
## Ciprofloxacin 500mg PO BID x 3 days
## Ciprofloxacin 500mg PO BID x 3 days
===[[Antibiotic Sensitivities]]<ref>Sanford Guide 2014</ref>==
{| {{table}}
| align="center" style="background:#f0f0f0;"|'''Category'''
| align="center" style="background:#f0f0f0;"|'''Antibiotic'''
| align="center" style="background:#f0f0f0;"|'''Sensitivity'''
|-
| [[Penicillins]]||[[Penicillin G]]||'''S'''
|-
| ||[[Penicillin V]]||X1
|-
| Anti-Staphylocccal [[Penicillins]]||[[Methicillin]]||X1
|-
| ||[[Nafcillin]]/[[Oxacillin]]||X1
|-
| ||[[Cloxacillin]]/[[Diclox.]]||X1
|-
| Amino-[[Penicillins]]||[[AMP]]/[[Amox]]||R
|-
| ||[[Amox-Clav]]||'''S'''
|-
| ||[[AMP-Sulb]]||'''S'''
|-
| Anti-Pseudomonal [[Penicillins]]||[[Ticarcillin]]||X1
|-
| ||[[Ticar-Clav]]||X1
|-
| ||[[Pip-Tazo]]||X1
|-
| ||[[Piperacillin]]||X1
|-
| [[Carbapenems]]||[[Doripenem]]||X1
|-
| ||[[Ertapenem]]||X1
|-
| ||[[Imipenem]]||X1
|-
| ||[[Meropenem]]||X1
|-
| ||[[Aztreonam]]||X1
|-
| [[Fluroquinolones]]||[[Ciprofloxacin]]||X1
|-
| ||[[Ofloxacin]]||X1
|-
| ||[[Pefloxacin]]||X1
|-
| ||[[Levofloxacin]]||X1
|-
| ||[[Moxifloxacin]]||X1
|-
| ||[[Gemifloxacin]]||X1
|-
| ||[[Gatifloxacin]]||X1
|-
| 1st G [[Cephalo]]||[[Cefazolin]]||X1
|-
| 2nd G. [[Cephalo]]||[[Cefotetan]]||X1
|-
| ||[[Cefoxitin]]||'''S'''
|-
| ||[[Cefuroxime]]||X1
|-
| 3rd/4th G. [[Cephalo]]||[[Cefotaxime]]||'''S'''
|-
| ||[[Cefizoxime]]||'''S'''
|-
| ||[[CefTRIAXone]]||'''S'''
|-
| ||[[Ceftaroline]]||X1
|-
| ||[[CefTAZidime]]||'''S'''
|-
| ||[[Cefepime]]||X1
|-
| Oral 1st G. [[Cephalo]]||[[Cefadroxil]]||X1
|-
| ||[[Cephalexin]]||X1
|-
| Oral 2nd G. [[Cephalo]]||[[Cefaclor]]/[[Loracarbef]]||X1
|-
| ||[[Cefproxil]]||X1
|-
| ||[[Cefuroxime axetil]]||X1
|-
| Oral 3rd G. [[Cephalo]]||[[Cefixime]]||'''S'''
|-
| ||[[Ceftibuten]]||X1
|-
| ||[[Cefpodox]]/[[Cefdinir]]/[[Cefditoren]]||X1
|-
| [[Aminoglycosides]]||[[Gentamicin]]||X1
|-
| ||[[Tobramycin]]||X1
|-
| ||[[Amikacin]]||X1
|-
| ||[[Chloramphenicol]]||X2
|-
| ||[[Clindamycin]]||X2
|-
| [[Macrolides]]||[[Erythromycin]]||'''S'''
|-
| ||[[Azithromycin]]||'''S'''
|-
| ||[[Clarithromycin]]||X1
|-
| Ketolide||[[Telithromycin]]||X1
|-
| Tetracyclines||[[Doxycycline]]||R
|-
| ||[[Minocycline]]||R
|-
| Glycylcycline||[[Tigecycline]]||X1
|-
| ||[[Daptomycin]]||R
|-
| Glyco/Lipoclycopeptides||[[Vancomycin]]||R
|-
| ||[[Teicoplanin]]||X1
|-
| ||[[Telavancin]]||X1
|-
| ||[[Fusidic Acid]]||X1
|-
| ||[[Trimethoprim]]||R
|-
| ||[[TMP-SMX]]||I
|-
| Urinary Agents||[[Nitrofurantoin]]||X1
|-
| ||[[Fosfomycin]]||X1
|-
| Other||[[Rifampin]]||X1
|-
| ||[[Metronidazole]]||R
|-
| ||[[Quinupristin dalfoppristin]]||X1
|-
| ||[[Linezolid]]||X1
|-
| ||[[Colistimethate]]||X1
|}


==Disposition==
==Disposition==

Revision as of 02:24, 24 June 2014

Background

  • Causative agent: Haemophilus ducreyi

Clinical Features

  • Multiple painful lesions
  • Painful inguinal lymphadenopathy (buboes) that may become an abscess and rupture

Chancroidmale.jpg Chancroidfemale.jpg

Differential Diagnosis

Workup

Management

  1. clean area with soap and water
  2. I&D any fluctuant buboes
  3. treat for other STDs as well
  4. Antibiotics:
    1. Azithromycin 1g PO x 1 OR
    2. Ceftriaxone 250 mg IM x 1 with Erythromycin 500 mg PO QID x 7 days OR
    3. Ciprofloxacin 500mg PO BID x 3 days

=Antibiotic Sensitivities[1]

Category Antibiotic Sensitivity
Penicillins Penicillin G S
Penicillin V X1
Anti-Staphylocccal Penicillins Methicillin X1
Nafcillin/Oxacillin X1
Cloxacillin/Diclox. X1
Amino-Penicillins AMP/Amox R
Amox-Clav S
AMP-Sulb S
Anti-Pseudomonal Penicillins Ticarcillin X1
Ticar-Clav X1
Pip-Tazo X1
Piperacillin X1
Carbapenems Doripenem X1
Ertapenem X1
Imipenem X1
Meropenem X1
Aztreonam X1
Fluroquinolones Ciprofloxacin X1
Ofloxacin X1
Pefloxacin X1
Levofloxacin X1
Moxifloxacin X1
Gemifloxacin X1
Gatifloxacin X1
1st G Cephalo Cefazolin X1
2nd G. Cephalo Cefotetan X1
Cefoxitin S
Cefuroxime X1
3rd/4th G. Cephalo Cefotaxime S
Cefizoxime S
CefTRIAXone S
Ceftaroline X1
CefTAZidime S
Cefepime X1
Oral 1st G. Cephalo Cefadroxil X1
Cephalexin X1
Oral 2nd G. Cephalo Cefaclor/Loracarbef X1
Cefproxil X1
Cefuroxime axetil X1
Oral 3rd G. Cephalo Cefixime S
Ceftibuten X1
Cefpodox/Cefdinir/Cefditoren X1
Aminoglycosides Gentamicin X1
Tobramycin X1
Amikacin X1
Chloramphenicol X2
Clindamycin X2
Macrolides Erythromycin S
Azithromycin S
Clarithromycin X1
Ketolide Telithromycin X1
Tetracyclines Doxycycline R
Minocycline R
Glycylcycline Tigecycline X1
Daptomycin R
Glyco/Lipoclycopeptides Vancomycin R
Teicoplanin X1
Telavancin X1
Fusidic Acid X1
Trimethoprim R
TMP-SMX I
Urinary Agents Nitrofurantoin X1
Fosfomycin X1
Other Rifampin X1
Metronidazole R
Quinupristin dalfoppristin X1
Linezolid X1
Colistimethate X1

Disposition

  • Normally Outpatient

See Also

Source

  • Emedicine
  1. ↑ Sanford Guide 2014
Gram Positives
Cocci
Clusters
Pairs/Chains
Other
Rods
Gram Negatives
Cocci
Rods
Lactose Fermenters
Lactose Non-Fermenters
Other
Rods/Cocci
Anaerobes
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