- Incubation period: 3-7 days
- Sites: Frenulum, prepuce, coronal sulcus in male and vulva, vestibule in females.
- Painful genital ulcers
- Non-indurated,
- Bleed on touch
- Yellow ragged edges
- Edema of prepuce
- Tender sometimes suppurative inguinal lymphadenopathy (unilateral in majority).
Secondary infection, ulceration
Hemophilus ducreyi (Pleomorphic gram negative facultative, anaerobic bacillus.)
- Maintain sexual hygiene
- Use of protection
- 10% of patients are co-infected with either HSV or T. pallidum.
- Males >> females.
- Occurs in sustained, urban outbreaks.
- Associated with female commercial sex workers and “sex-for-drugs” trade.
