Venereal ulcer

General information about a disease

The venereal ulcer (a venereal ulcer, шанкроид, the third venereal disease) is an infectious disease which is transmitted only sexually and is shown in the form of multiple painful sores on generative organs, and also inflammations of lymph nodes.

The venereal ulcer is extended to territories of the countries of Southeast Asia, Africa, Central and South America. In some regions the venereal ulcer at women and men prevails even over syphilis. In recent years several thousands of the diseased were revealed in Portugal, Italy, Great Britain and the USA. In the territory of the CIS the disease occurs extremely seldom, and only at those people who went abroad, that is, it is an imported infection.

The last researches of venereal diseases allowed to draw a conclusion that in 10% of cases the patients infected with a venereal ulcer also suffer from syphilis or genital herpes. Besides, close connection between shankroidy and HIV infection was revealed.

Than the venereal ulcer is provoked?

The activator of a venereal ulcer – Haemophilus ducreyi stick – for the first time was described in 1887. Within several next decades it was in detail studied by scientists from Russia, Italy and Germany. At the moment time knows to us that infection of the healthy person occurs only at sexual intercourse when the activator gets on a mucous membrane of bodies or on the damaged sites of skin. If do constantly not treat a venereal ulcer symptoms to progress as sticks are steady against many chemicals, without effort transfer low temperatures and very quickly breed. For this reason at the people who are regularly abroad шанкроид syphilis and other infections of generative organs comes to light more often, than.

There is also a wish to note that some specialists assume a possibility of transfer of sticks of a venereal ulcer not sexually. Indirectly this theory is confirmed by the fact that the contagium was several times revealed at children and health workers who were engaged treatment of the infected people. However researches are not finished yet and therefore any conclusions in this respect will be premature.

Venereal ulcer – disease symptoms

The incubation interval of a disease makes 3-10 days. Such wide spacing is caused by some features of an infection. In particular, the venereal ulcer at women progresses much more slowly, than at men. In most cases at women the first signs of infection are shown not earlier than for 5-6 days after infection. Also cases when the incubation interval lasted for several weeks were recorded, but similar situations are the exception to the rules connected with specific features of an organism of the specific patient.

At an initial stage in the place of implementation of the activator there is a spot of bright red color in which center the dense small knot with purulent contents is formed. In several days it is opened, and on its place there is directly chancre – the ulcer of irregular shape having diameter from several millimeters to 3-4 centimeters. To distinguish a venereal ulcer from ulcerations which are formed at some other sexually transmitted infections it is necessary to consider that:

• ulcers at a venereal ulcer strongly hurt and bleed;
• education basis soft to the touch;
• around area of defeat the inflammatory nimbus is swept up;
• the venereal ulcer leads to emergence of multiple, but not single ulcerations.

The arrangement of ulcers, first of all, depends on that, how exactly there was infection. At proctal sex of area of defeat are in the region of an anus and by outward remind a deep crack. Oral sexual intercourse can cause emergence of ulcers on a mucous membrane of an oral cavity. Most often the venereal ulcer is formed on:

• internal part of a prepuce;
• to penis bridle;
• big and small vulvar lips;
• in a navicula;
• surfaces of a coronal furrow.

2-4 weeks of an ulcer later heal with formation of a small hem. This term can increase if at the patient the venereal ulcer which symptoms are shown more brightly because of the complicated disease is observed. In the absence of medical care the infection leads to disturbances in work of the main systems of an organism and to damage of lymph nodes.

Venereal ulcer – treatment of a disease

During treatment of a venereal ulcer specialists apply antibiotics and sulfanamide drugs. The greatest distribution was gained by means which destroy not only sticks of a venereal ulcer, but also pale treponemas which are causative agents of syphilis. The course of treatment lasts 1-2 weeks. For the prevention of a recurrence and consecutive sexually transmitted infections the patient has to be observed regularly at the attending physician.

Severe pains in the field of ulcers can be stopped by means of local antibiotics. Ointments help to eliminate the most expressed clinical symptoms which cause to the patient considerable inconveniences and reduce level of quality of life. Besides, at the diagnosis a venereal ulcer treatment includes fortifying therapy and use of immunomodulatory drugs. At the started forms of a venereal ulcer surgical intervention is shown to patients.