• Painful and tender lesions

• Painful shallow ulcers with granulomatous bases and purulent exudates. epidemiology

In 2003, more than 50,000 patients were diagnosed with chancroid in the United States. The majority of cases were diagnosed in the South Atlantic region, which included Delaware, North and South Carolina, Georgia, and Florida.45 Approximately 10% of persons who have chancroid that was acquired in the United States are coinfected with T. pallidum or HSV4; this percentage is higher in individuals who acquired chancroid outside of the United States.

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