CHANCROIDS (SOFT SORE)

• Chancroid ( also known as soft chancre) is a highly contagious sexually transmitted infection caused by Haemophilus ducreyi
• Characterized by the formation of small, painful ulcers on the genitalia 
• Swollen, painful lymph glands or inguinal buboes in the groin area are often associated with chancroid
• If left untreated, chancroid may facilitate the transmission of HIV

• Causative organism: Haemophilus ducreyi
• Spreads by sexual transmission through skin-to-skin contact with an open sore(s)
• Non-sexual transmission - when pus-like fluid from the ulcer is moved to other parts of the body or another person
• Incubation period : 3-5 days or less

• The ulcer begins as a tender, elevated bump, or papule, that becomes a pus-filled, open sore with eroded or ragged edges
• The ulcer is soft to the touch (unlike a syphilis chancre that is hard or rubbery). The term soft chancre is frequently used to describe the chancroid sore
• The ulcers can be very painful in men 
• Because chancroid is often asymptomatic in women, they may be unaware of the lesion(s)
• Painful lymph glands may occur in the groin, usually only on one side; however, they can occur on both sides

• Gram stain – scrapings from the base of the ulcer may show clusters of gram-negative rods
• Culturing
• PCR

• A single oral dose of Azithromycin or a single IM dose of Ceftriaxone or oral erythromycin for 7 days
• Abscesses are drained

Ayurvedic Treatment

Internal Medicines

• Aragwadhadi Kashaya
• Punarnavadi Kashaya
• Indukantha Kashaya
• Thriphala Guggulu Gutika
• Vilwadi Gutika
• Chandraprabha Vati
• Punarnavaasava

Procedures

• Yoni kshalana - Thriphala Kashaya, karanja Kashaya
• Avagaha sweda - Thriphala Kashaya