A 29-year-old cisgender man is referred to a sexual health clinic for further evaluation of genital ulcers and left-sided inguinal adenopathy. He has just returned from a two-week trip to the Caribbean. While in the Caribbean, he had sex with several cisgender women without the use of a condom.
On physical examination of the genital region, which one of the following findings would be most consistent with a diagnosis of chancroid?
Figure 1. Ulcerated Penile Lesions in a Cisgender Man with Chancroid
This photograph of a cisgender man with chancroid shows three shallow ulcerated lesions that each have an erythematous base and a well-defined border. These lesions are typically painful.
Source: Centers for Disease Control and Prevention Public Health Image Library (Dr. Pirozzi, 1972).
Figure 2. Ulcerated Penile Lesions and Regional Lymphadenopathy in Man with Chancroid
This photograph of a male with chancroid shows two penile ulcerations (blue arrows) and right-sided tense, inguinal adenopathy (black arrow).
Source: Centers for Disease Control and Prevention Public Health Image Library (J Pledger, 1976).
Figure 3. Inguinal Lymphadenopathy with Rupture in Woman with Chancroid
This photograph of a woman with chancroid shows marked left-sided inguinal adenopathy, often referred to as a bubo. In this woman, the bubo had ruptured through her overlying inguinal skin (black arrow).
Source: Centers for Disease Control and Prevention Public Health Image Library (Dr. Greg Hammond and Susan Lindsley, 1976).
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Question Last Updated
March 25th, 2022
March 25th, 2022
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