Chancroid

Chancroid ("shan-kroid") is an important bacterial infection caused by Haemophilus ducreyi, which is spread by sexual contact. Periodic outbreaks of chancroid have occurred in the United States, the last one being in the late 1980s. These outbreaks are usually seen in minority populations in the inner cities, especially in the southern and eastern portion of the country. Globally, this disease is common in sub-Saharan Africa among men who have frequent contact with prostitutes.

The infection begins with the appearance of painful open sores on the genitals, sometimes accompanied by swollen, tender lymph nodes in the groin. These symptoms occur within a week after exposure. Symptoms in women are often less noticeable and may be limited to painful urination or defecation, painful intercourse, rectal bleeding, or vaginal discharge. Chancroid lesions may be difficult to distinguish from ulcers caused by genital herpes or syphilis. A physician must therefore diagnose the infection by excluding other diseases with similar symptoms. People with chancroid can be treated effectively with one of several antibiotics. Chancroid is one of the genital ulcer diseases that may be associated with an increased risk of transmission of the human immunodeficiency virus (HIV), the cause of AIDS.

Each year, Medical College of Wisconsin physicians care for more than 180,000 patients, representing nearly 500,000 patient visits. Medical College physicians practice at Children's Hospital of Wisconsin, Froedtert Memorial Lutheran Hospital, the Milwaukee VA Medical Center, and many other hospitals and clinics in Milwaukee and southeastern Wisconsin.