Diagnosis
Painful, ulcerated, genital ulcers with suppurative inguinal adenopathy.
Epidemiologic Risks
Sex.
Has become quite unusual in the West.
Microbiology
Empiric Therapy
azithromycin 1 g orally in a single dose OR
ceftriaxone 250 mg (IM) in a single dose OR
ciprofloxacin 500 mg orally twice a day for 3 days, OR
erythromycin base 500 mg orally three times a day for 7 days.
Pearls
Can be mistaken for syphilis, so rule out this disease as well as herpes.
Treat partners who had sexual contact with the patient the 10 days before the patient’s onset of symptoms.
Rants
Last Update: 06/08/18.