Mainly caused by chancroid, syphilis and herpes genitalis.
Symptoms:
Genital ulcers with/without pain.
Diagnosis:
History & physical examination especially of ulcers & buboes.
***If buboes are absent and not sexually active in the last 3 months.
Diagnosis:
Herpes genitalis?
Treatment:
Tabs acyclovir 400mg TID x 1/52
Advise of HIV testing.
***If buboes are present and sexually active in the last 3 months.
Treatment:
- Inj Benzathine benzylpenicillin 2.4 IM 2.4 MU STAT
- Tabs Erythromycin 500mg TID x 1/52
***If allergic to penicillins, give only
Tabs Erythromycin 500mg TID x 14/7
***Alternative treatment B
Inj Ceftriaxone 250mg OD x 10 – 14 days.
***Other options;
- Inj. Benzathine benzylpenicillin 2.4 IM 2.4MU STAT
- Tabs acyclovir 400mg TID x 1/52 if HIV positive or the status is unknown.
***If ulcers have not improved after a week add Tabs Azithromycin 1gm STAT
