title: Chancroid - desperate patient makes own diagnosis.
abstract: We report a case of chancroid in a white heterosexual man in the United Kingdom. This patient was seen by four separate health services over a period of five weeks with excruciatingly painful penile ulcers. Despite several negative herpes simplex virus polymerase chain reaction tests and a self-diagnosis of chancroid, he was repeatedly offered multiple courses of aciclovir. This case highlights the need for awareness of alternative diagnoses in persistent cases of genital ulcer disease.
authors.affiliation: New Croft Centre for Sexual Health, Newcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, UK pam.barnes@nuth.nhs.uk.
authors.forename: P
authors.initials: P
authors.lastname: Barnes
authors.affiliation: New Croft Centre for Sexual Health, Newcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, UK.
authors.forename: M
authors.initials: M
authors.lastname: Chauhan
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002602:Chancroid / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology; D003937:Diagnosis, Differential; D004917:Erythromycin / Q000627:therapeutic use; D006191:Haemophilus ducreyi / Q000235:genetics / Q000302:isolation & purification*; D006801:Humans; D008297:Male; D016133:Polymerase Chain Reaction; D016896:Treatment Outcome; D014456:Ulcer / Q000175:diagnosis / Q000209:etiology*; D055815:Young Adult
chemical_list: D000900:Anti-Bacterial Agents; D004917:Erythromycin
keywords: Chancroid (Haemophilus ducreyi); Europe; GUD; HSV; genital ulcer disease; herpes simplex virus; sexually transmitted infection; treatment