Haemophilus ducreyi

From WikiMD's medical encyclopedia

Haemophilus ducreyi is a bacteria that is responsible for the sexually transmitted infection known as chancroid. This bacterium is gram-negative and is characterized by its ability to form colonies on selective media.

Overview

Haemophilus ducreyi is a fastidious gram-negative coccobacillus which is known to cause chancroid, a sexually transmitted bacterial infection. This bacterium is not part of the normal human flora and is most commonly found in developing countries and among populations with high-risk sexual behaviors.

Pathogenesis

The pathogenesis of Haemophilus ducreyi is not completely understood. However, it is known that the bacterium produces a toxin that kills human cells and damages tissue. The bacterium also has a capsule that helps it evade the immune system.

Clinical Features

The primary symptom of a Haemophilus ducreyi infection is the formation of a painful genital ulcer, known as a chancroid. Other symptoms can include painful lymph nodes in the groin area, and in rare cases, the bacteria can spread to the blood causing a systemic infection.

Diagnosis

Diagnosis of Haemophilus ducreyi infection is typically made by isolating the bacterium from a sample taken from the ulcer. This can be done using a culture or a polymerase chain reaction (PCR) test.

Treatment

Treatment for Haemophilus ducreyi infection typically involves antibiotics. The most commonly used antibiotics are azithromycin, ceftriaxone, ciprofloxacin, and erythromycin.

Prevention

Prevention of Haemophilus ducreyi infection involves practicing safe sex, including the use of condoms. In areas where the bacterium is common, public health measures such as education and screening programs can also be effective.

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Contributors: Prab R. Tumpati, MD