Open AccessThe Role of Haemophilus ducreyi in Penile Ulcers in Bangkok, Thailand
Author(s) -
David N. Taylor,
Chiraphun Duangmani,
Chaninthorn Suvongse,
Robert J. O’Connor,
Chittima Pitarangsi,
Kanchana Panikabutra,
Peter Echeverria
Publication year - 1984
Publication title -
sexually transmitted diseases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.507
H-Index - 105
eISSN - 1537-4521
pISSN - 0148-5717
DOI - 10.1097/00007435-198407000-00005
Subject(s) - haemophilus ducreyi , medicine , chancroid , herpes simplex virus , genital ulcer , sexually transmitted disease , dermatology , etiology , syphilis , gastroenterology , virus , microbiology and biotechnology , virology , pasteurellaceae , haemophilus influenzae , human immunodeficiency virus (hiv) , antibiotics , biology
In October 1982, penile ulcers were identified in 248 (19%) of 1282 men at Bangrak Hospital, Bangkok, Thailand. The etiology of the ulcers was determined for 120 (48%) of these patients. Haemophilus ducreyi was isolated from 45 (38%), herpes simplex virus from 14 (12%), and Neisseria gonorrhoeae from two (2%) of 120 patients. Syphilis was detected in one patient. Two patients had both H. ducreyi and herpes simplex virus isolated from the same ulcer. Thirty-five per cent of patients had a single ulcer, 56% had two to four ulcers, and 9% had more than four. Ulcers were located on the prepuce or coronal sulcus (69%), frenulum (18%), shaft (9%), and glans (4%). Inguinal adenopathy was present in only 11% of patients. H. ducreyi infection was diagnosed by gram stain in 28 (62%) of 45 patients from whom H. ducreyi was isolated and in only one of 75 patients from whom H. ducreyi was not isolated. Of the 45 isolates of H. ducreyi, 42 (93%) were isolated with use of media containing horse blood and 34 (76%) with use of media containing rabbit blood.