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The infection is treated with antibiotics, including azithromycin, ceftriaxone, ciprofloxacin, and erythromycin. Large lymph node swellings need to be drained, either with a needle or local surgery.
Chancroid can get better on its own. However, some people may have months of painful ulcers and draining. Antibiotic treatment usually clears up the lesions quickly with very little scarring.
Complications include urethral fistulas and scars on the foreskin of the penis in uncircumcised males. Patients with chancroid should also be checked for syphilis, HIV, and genital herpes.
Chancroids in persons with HIV may take much longer to heal.
Call for an appointment with your health care provider if you have symptoms of chancroid. Also call if you have had sexual contact with a person known to have any STD, or if you have engaged in high-risk sexual practices.
Annan NT, Lewis DA. Treatment of chancroid in resource-poor countries. Expert Rev Anti Infect Ther . 2005 Apr;3(2):295-306.
Lewis DA. Chancroid: clinical manifestations, diagnosis, and management. Sex Transm Infect . 2003 Feb;79(1):68-71.
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