CHANCROID (SOFT CHANCRE) – MANAGEMENT
The treatment of choice is erythromycin 500 mg every 6 hours for at least 7 days and continued until the lesions heal. Alternatively, trimethoprim and sulphamethoxazole (160/800 mg) twice daily for at least 7 days, or intramuscular ceftriaxone may be used.
Local therapy has an important role particularly in the treatment of subpreputial lesions. Lesions should be kept clean and dry by careful cleaning; the prepuce should be kept retracted until the lesions heal.
Early antibiotic treatment will usually abort the development of buboes. Inguinal buboes may be aspirated through normal skin to relieve pain but should not be incised. If buboes are incised or spontaneous eruption occurs, permanent scarring and deformity are likely.
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