Azithromycin 1 gm orally in a single dose
Ceftriaxone 250 mg IM in a single dose
The sores, or chancroids, are typically painful, which is the key distinguishing factor from syphilis — the latter is characterized by painless chancres. Chancroid ulcers may also appear tiny, or as big as 2 inches. They may bleed, or they may have gray or yellow-gray centers.
So the treatment is fairly simple. Ceftriaxone, 250 milligrams, or azithromycin..
Ulcers will be soft and tender, painful, and yellowish in color with a dirty surface, and will have an undermined border and surrounding erythema. The most common site for ulcers to appear is in the inner aspect of the foreskin. Other sites include the coronal sulcus and the frenulum. It is rare to find extragenital lesions. Patients will often have one or more tender inguinal lymph nodes called buboes.
Chancroid is the STD that even your doctor will have a hard time diagnosing..
Haemophilus ducreyi, a fastidious gram-negative bacillus is a well-known cause of chancroid, a sexually transmitted pathogen which has been associated with the sexual transmission of human immunodeficiency virus (HIV).
As chancroid is a genital ulcerative disease, its lesions are more readily apparent and therefore more commonly reported among men.
Traditionally, chancroid was very common, but with more attention paid to STI transmission with the rise in HIV cases in the 1980’s, the prevalence of chancroid has been falling. Herpes simplex is now the most common genital ulcerative disease.
Chancroid is often diagnosed clinically, although Gram stain of material from an ulcer or suppurative node may suggest the diagnosis.
Chancroid is an exceedingly rare sexually transmitted infection, both in the United States and globally. Knowledge regarding its true prevalence is made difficult by the lack of readily available diagnostic testing and by its similar presentation to other more common causes of genital ulcer diseases.