Doctor insights on:
How To Tell The Difference Between Chancroid And Syphilis
Genital lesions: Chancroid is a soft friable lesion appearing on mons pubis with surface ulceration.Syphillitic ulcers are more defined, smaller , deeper ulcerated areas which are usually painless(unlike herpetic ulcers). The definitive test is taking swab cultures or biopsies.A blood sample for syphilis(rpr with fta) must be done additionally to confirm before treatment could be started. ...Read more
It is a sexually transmitted, acute, ulcerative disease of the vulva. It is painful. It is caused by the bacteria haemophilus ducreyi. The incubation period is short 3-6 days. The initial lesion is small, but evolves over the next 2-3 days into the ulcer. The ulcers are painful , and can ...Read more
How do I differentiate between syphilis and chancroid? Whats the most secretive way of getting tested for either? There are many differences between the syphilitic chancre and chancroid:
i. Chancres are typically painless, whereas chancroid are typically
If : If you think you have a sexually transmitted disease, you need to go to a doctor and get tested and treated as soon as possible. You should also notify your sexual partners. In the future, you should practice safe sex by using a condom or barrier every time you have sex. Everything you say to the doctor is confidential. ...Read more
Genital ulcers: Herpes, syphilis, donovanosis and chancroid cause genital ulcers. In the us, genital herpes is the most common. A diagnosis of chancroid is a little tricky b/c test not widely available. Having both a painful genital ulcer and tender swelling in the groin raises the possibility of chancroid (in setting of negative syphilis and herpes testing). Hiv test should also be done. See md for evaluation. ...Read more
Very different: Syphilis occurs in stages, 1st painless sore (chancre) after 1 1/12 - 13 wks on genitals, lasts about 1 month. 2nd stage skin rash 2 - 8 wks later lasts about 8 wks. Then latent for 1 -20 yrs.3rd syphilis blood vessels, heart, mental disorders, blindness & nervous system problems. Gonorrhea symptoms in men -> none or pus-like discharge within days, frequent painful urination. Women->abdo pain &dc. ...Read more
Diagnosis: Folliculitis has characteristic physical exam finding and likely would not be confused for syphillis. However, the rash of syphillis mimics many other diseases and conceivably could be confused for folliculitis. Blood testing is the best way to get a final diagnosis. ...Read moreSee 1 more doctor answer
Stage of disease: Primary syphilis is characterized by the chancre, a firm based ulcer which is not tender. Neurological involvement occurs after the spirochaete disseminates through the blood stream and can appear as meninigoencephalitis in secondary syphilis or in late stage syphilis it may manifest as permanent brain impairment with many symptoms and signs. ...Read more
Stage of disease: A chancre is the initial lesion at the point where the syphilis bacterium first entered the body. Usually it's a painless ulcer that feels hard. Syphilis is the disease caused by infection with the bacterium t pallidum; it's still around and is serious. Chancroid by contrast is a different disease, more uncomfortable but far less serious. ...Read more
Totally Different: Canker sores are called aphthous ulcers, occur exclusively in the mouth and the cause is unknown. A chancre is an ulcer found on genitalia and in the mouth caused by the spyrochete that causes syphilis. Canker sores are not contagious, but chancres shed live bacteria and can spread syphilis by contact. ...Read moreSee 1 more doctor answer
Pain versus painless: Canker sores are typically painful, tender, white. Mucous patches are painless, nontender, usually pink or the same color as other mouth tissues. Currently in the US, syphilis is rare except in a few population groups; 75% of cases are in men having sex with men. If you are heterosexual and not at high risk for STDs, syphilis is very unlikely. But see a doctor and have a blood test to be sure! ...Read more
Genital ulcers: Herpes and chancroid cause genital ulcers (also syphilis). In the us, genital herpes is the most common. A definitive diagnosis of chancroid is a little tricky b/c test not widely available. Having both a painful genital ulcer and tender swelling in the groin suggests the diagnosis of chancroid (in setting of negative syphilis and herpes testing). Hiv test should also be done. See md for eval. ...Read more
I asked yesterday but there were a difference of opinions. 24 hours after receiving 2,4 mu of penicillin g, is that person able transmit syphilis?
Yes: It is a long acting PCN. Short acting would have protected you. ...Read more
Get treated: You should get treated immediately. You should also notify all sexual contacts. The state health department will probably contact you to ask about your sexual contacts. They can notify your contacts about without specifically naming you as the reason for their call. ...Read more
Not the appearance.: In the first stage of syphilis, most sores (chancres) are painless (cervix, vagina, penis, scrotum, anus). Most often there is one sore in first stage but there may be more than one.The sores are hard ; round w an open ; oozing center. Sores on lips ; fingers may be painful. ...Read moreSee 1 more doctor answer
You cannot: See a doctor. They will be able to differentiate. ...Read more
Syphilis and kids: Syphilis is a sexually transmitted disease if left untreated, can lead to serious health problems in children and adults. Syphilis affects the heart and blood vessels and can also affect the liver, kidneys, and eyes. If concerned,ask your PCP for more information. Take care. ...Read moreSee 1 more doctor answer
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