Another ulcer

A 31 year old man presents with a painful ulcer of the penis and a lump in the left groin for 2 weeks.

He recalls having unprotected sex with a commercial sex worker around a week before the ulcer appeared.

His medical, surgical and family histories are unremarkable.

Select Relevant Investigations
VDRL and HIV screen

Performed

VDRL: non reactive
HIV Screening test: negative
Urine PCR for C. trachomatis

Performed

The PCR test is negative.
Culture for H. ducreyi

Performed

Cultures are positive for Haemophilus ducreyi
HSV Cultures

Performed

Cultures are negative.

Select Relevant Management
Screen for HIV in 3 months
Azithromycin
Circumcision
I&D of nodes