Chancroid Coexisting with Vaginal Candidiasis: A Case Report

Abstract

BACKGROUND: Chancroid is a sexually transmitted disease caused by the Gram-negative bacteria, Haemophilus ducreyi. In endemic areas, the ratio of men to women is 3:1. Clinical symptoms of chancroid manifest as genital ulcers which are generally painful and tender with irregular edges. The base of the ulcer can be covered with yellow or gray necrotic purulent exudate, and often bleeds when rubbed. Vaginitis is an inflammation of the vagina and can be accompanied with symptoms such as vaginal discharge, complaints of itching, and pain. The most common cause is an imbalance of bacteria or normal flora in the vagina.

CASE REPORT: We report a case of chancroid in a 20-year-old woman in conjunction with vaginal candidiasis that was later identified as Candida glabrata. The patient was then treated with a combination of oral antibiotics and antifungals, as well as normal saline dressing that then showed significant clinical improvements.

CONCLUSION: Chancroid is a sexually transmitted disease that is still prevalent especially in developing countries. Diagnosis of the disease is often made clinically and should be promptly treated to prevent further complications. Coexistence of chancroid with vaginal candidiasis is rare, and combination of antibiotics and antifungals, as well as normal saline dressing proved to be effective in treating the condition.