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Pedro Ruiz Gallo
Lambayeque, September 2012
NATIONAL UNIVERSITY
HUMAN MEDICINE SCHOOL
NATIONAL UNIVERSITY
HUMAN MEDICINE SCHOOL
Pedro Ruiz Gallo
TEAM:
STUDENTS:
Nº 03
TEACHER:
Dra. Rosa Gonzales
Llontop
Carlos Elera Gustavo
Farroñay Antón Iván
Guerrero Jaramillo
Sergio Daniel
Hinostroza Huamán
Adler
Llanos Tenorio Edgar
Jhasler
Quesquén Neciosup
Víctor
CURSE:Medical English
COMPARATION
BETWEEN SYPHILLIS
AND CHANCROID
SYPHILIS
A SEXUALLY TRANSMITTED DISEASE
THE BACTERIUM TREPONEMA PALLIDIUM
CAUSED BY
IS
SYPHILIS
to
THE INFECTION
USUALLY SEXUALLY
TRANSMITTED
VENEREAL SYPHILIS
is
It is called
AN INFECTED MOTHER
may also be passed from
HER UNBORN CHILD
CONGENITAL SYPHILIS
It is known as
PAINLESS ULCERS
CHANCRES
Known as
Symptoms
PRIMARY STAGE OF SYPHILIS
WARTY-LOOKING GROWTHS
WHITE PATCHES ON THE TONGUE
SECONDARY STAGE OF SYPHILIS
THERE ARE NO SYMPTOMS IN THIS STAGE
AFTER ABOUT TWO YEARS
AN INFECTED MAN
CEASE TO BE CONTAGIOUS
and
may
LATENT STAGE OF SYPHILIS
MANY ORGANS MAY BE AFFECTED
IT CAN ALSO AFFECT THE NERVOUS SYSTEM AND THE AORTA
TERTIARY STAGE OF SYPHILIS
CHANCROID
CHANCROID
CAUSED BY
Haemophilus ducreyi
Bacterial infection
After an
incubation
period of one
day to two
weeks
begins with a small
bump that becomes an
ulcer within a day of
its appearance
Symptoms and signs
Ranges in size dramatically from 3 to 50 mm across
Is painful
Has sharply defined,
undermined borders
Has irregular or
ragged borders
Has a base that is
covered with a gray or yellowish-
gray material
Has a base that bleeds easily if traumatized or scraped
Common signs and symptoms
Inflammation in lymph nodes in the groin
Common signs and symptoms
Ulcers on the
external genitalia
Common signs and symptoms
Ulcers round, small, reddish
Common signs and symptoms
Differences between Syphilis and Chancroid
Chancroid
Primary Syphilis
Can be very painful
A lot of ulcers
have a soft edge
typically have a grey or yellow purulent exudate
Diagnosis
STAGE DIAGNOSE OPINION
PRIMARY Physical examination findings:
Ulcer is usually single, hardened (genital or non-genital)
painless testing positive by darkfield / PCR, or
highly suspected chancre may be one based on the clinic.
SECONDAR
Y
Physical examination findings:
• Rash (local or generalized) without explanation
• Rash on the palms or soles
• mucous patches (lesions on the tongue, buccal mucosa,
lips)
• Condyloma lata (flat, wet, gray-whitish plaques)
• patchy Alopecia
CLINICAL DIAGNOSIS
Diagnosis of Syphilis
Ulcer is usually single, hardened (genital or non-
genital)
Rash on the palms or
soles
Patchy Alopecia
DARK FIELD
Immediate examinationLesion moist
LABORATORY TEST
DNA AMPLIFICATION
Lesion moist
Diagnosis of Chancroid
• You can also perform a biopsy of the lesions which is always presented
diagnostic.
• All patients with genital ulcer is due to take tests for Syphilis and
Herpes Virus as they are two differential diagnoses and present the
association.
• Provides a review of the injury and is performed Gram stain which will
show Gram negative coccobacilli.
• Cultivation of the base of the ulcer or node aspirates (60-80%
sensitivity, i.e detects growing from 60 to 80% of infected individuals
