H. aegyptius and H. ducreyi

H. aegyptius and H. ducreyi


H. aegyptius and H. ducreyi

H. ducreyi

Morphology

  • Short, Gram-negative, nonmotile rods
  • Saftey pin appreance

Culture

  • Difficult to culture and require special mediums.

Clinical Manifestations

Chancroid 

  • Causes ulcus molle (soft chancre) a tropical venereal disease .
  • Painful, soft ulcers with ragged undermined margins develop 1–2 weeks after inoculation (usually seen in prepuce and frenulum in men and vulva, cervix, and perianal area in women)

  • The infection locus presents as a painful, readily bleeding ulcer occurring mainly in the genital area.
  • Regional lymph nodes are quite swollen.
  • Suppurating buboes seen 

Diagnosis

  • Identification of the pathogen by means of microscopy and culturing are needed to confirm the diagnosis.
  •  School of fish appearance or rail road track appearance 

Treatment

  • Sulfonamides, streptomycin, and tetracyclines.
  • H. aegyptius (possibly identical with biovar III of Haemophilus influenzae)
  • Causes a purulent conjunctivitis occurring mainly in northern Africa, in particular Egypt.
  • A raised incidence of Brazilian purpuric fever, a systemic infection with this organism, has been observed in Brazil in recent years.

Exam Important

H. ducreyi

Morphology

  • Saftey pin appreance

Clinical Manifestations

Chancroid 

  • Causes ulcus molle (soft chancre) a tropical venereal disease .
  • Painful, soft ulcers with ragged undermined margins develop 1–2 weeks after inoculation (usually seen in prepuce and frenulum in men and vulva, cervix, and perianal area in women)
  • The infection locus presents as a painful, readily bleeding ulcer occurring mainly in the genital area.
  • Regional lymph nodes are quite swollen.
  • Suppurating buboes seen 

Diagnosis

  • Identification of the pathogen by means of microscopy and culturing are needed to confirm the diagnosis.
  • School of fish appearance or rail road track appearance 

H. aegyptius (possibly identical with biovar III of Haemophilus influenzae)

  • Causes a purulent conjunctivitis occurring mainly in northern Africa, in particular Egypt.
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