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[Lentigines].
Pan Afr Med J. 2019; 33:190.PA

Abstract

Chancroid (also known as soft chancre and ulcus molle) is a sexually transmitted disease (STD) due to the Ducrey's bacillus (or Haemophilus ducreyi) characterized by chancre at the site of ulcerated inoculation associated with lymphadenopathy. The disease manifests as a small pinkish papule at the site of penetration of the bacterium. After an incubation period ranging from 24 hours to 15 days (on average 5 days). The lesion rapidly evolves into a more or less extended pinkish, painful, deep ulcer with very inflamed and sharp edges and a ragged appearance. The lymphadenopathies usually occur 2-3 weeks after the contact. They are often unilateral and can evolve into ulcers with pus discharge at the level of the skin. Some complications can occur: penile gangrene, extended gangrene of the skin, local superinfection, association with other sexually transmitted diseases. Bacterium can be identified by microscopic examination of a smear of the chancre-like ulcer, more rarely by fine-needle puncture biopsy of a lymphadenopathy. Giemsa or Pappenheim coloration allows identification of the germ. Treatment is based on azithromycin (1g per os in a single dose) or ceftriaxone (250mg administered intramuscularly in a single dose). We report the case of a 30-year old man with well-defined deep scrotum ulcer with necrotic center which occurred 1 week after unprotected sexual intercourse. Haemophilus ducrey has been detected by culture and the patient underwent Azithromycin therapy with good outcome.

Authors+Show Affiliations

Centre, Hôpital Civil Tétouan, Tétouan, Maroc.

Pub Type(s)

English Abstract
Journal Article

Language

fre

PubMed ID

31692707

Citation

Agharbi, Fatima-Zahra. "[Lentigines]." The Pan African Medical Journal, vol. 33, 2019, p. 190.
Agharbi FZ. [Lentigines]. Pan Afr Med J. 2019;33:190.
Agharbi, F. Z. (2019). [Lentigines]. The Pan African Medical Journal, 33, 190. https://doi.org/10.11604/pamj.2019.33.190.15989
Agharbi FZ. [Lentigines]. Pan Afr Med J. 2019;33:190. PubMed PMID: 31692707.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Lentigines]. A1 - Agharbi,Fatima-Zahra, Y1 - 2019/07/12/ PY - 2018/05/07/received PY - 2018/08/14/accepted PY - 2019/11/7/entrez PY - 2019/11/7/pubmed PY - 2019/11/7/medline KW - Lentigines KW - hypermelanocytosis KW - neurofibromatosis SP - 190 EP - 190 JF - The Pan African medical journal JO - Pan Afr Med J VL - 33 N2 - Chancroid (also known as soft chancre and ulcus molle) is a sexually transmitted disease (STD) due to the Ducrey's bacillus (or Haemophilus ducreyi) characterized by chancre at the site of ulcerated inoculation associated with lymphadenopathy. The disease manifests as a small pinkish papule at the site of penetration of the bacterium. After an incubation period ranging from 24 hours to 15 days (on average 5 days). The lesion rapidly evolves into a more or less extended pinkish, painful, deep ulcer with very inflamed and sharp edges and a ragged appearance. The lymphadenopathies usually occur 2-3 weeks after the contact. They are often unilateral and can evolve into ulcers with pus discharge at the level of the skin. Some complications can occur: penile gangrene, extended gangrene of the skin, local superinfection, association with other sexually transmitted diseases. Bacterium can be identified by microscopic examination of a smear of the chancre-like ulcer, more rarely by fine-needle puncture biopsy of a lymphadenopathy. Giemsa or Pappenheim coloration allows identification of the germ. Treatment is based on azithromycin (1g per os in a single dose) or ceftriaxone (250mg administered intramuscularly in a single dose). We report the case of a 30-year old man with well-defined deep scrotum ulcer with necrotic center which occurred 1 week after unprotected sexual intercourse. Haemophilus ducrey has been detected by culture and the patient underwent Azithromycin therapy with good outcome. SN - 1937-8688 UR - https://www.unboundmedicine.com/medline/citation/31692707/[Lentigines] L2 - http://www.panafrican-med-journal.com/content/article/33/190/full/ DB - PRIME DP - Unbound Medicine ER -
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