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What is A 22 year old college going adult has H/o sexual exposure with commercial sex worker, now presenting with painful genital lesions and lymphadenopathy in right inguinal region. What is the diagnosis? and explain in detail?
Ans. (b) ChancroidRef: MICRONS- Microbiology simplified - 2nd ed - by Malathi MurugesanDiseaseUlcerLymphnodesPrimary syphilisChancre painlessPainless-bilateralChancroidpainfulPainful -usually unilateralDonovanosisPainless (beefy red)PSEUDOBUBO (lesion appearing in groin may present like lymphadenopathy prior to rupture)LGVTransientPainful usuallyHerpesPainfulPainfulCourtesy: from MICRONS- Microbiology simplified-2nd ed - by Malathi MurugesanDifferences between chancroid and IGV buboChancroid buboLgv bubo90% unilateral2/3 unilateralMattedNot mattedUnilocularMultilocularRupture with single openingRupture with multiple openingAccompanied by genital ulcerNot accompanied by genital ulcerGroove sign negativeGroove sign positivePrimary syphilis - presents as chancre (Hunterian Chancre)ChancreChancroidSingleMultiplePainlessPainfulClean baseNecrotic baseBilateral inguinal nodesUnilateral inguinal nodesNo exudatesYellow exudates