Haemophilus ducreyi
- Responsible for an STD (CHANCROID), prevelance in SE Asia & Africa.
- Painful penile ulcer (SOFT CHANCRE) and inguinal lymphadenitis.
- Small GNBs can be seen in swabs or aspirates from LNs.
- Shoal of fish on the Gm stain.
- ?facilitated the transmission of HIV in the tropics.
- Rx: azithromycin, erythro, cipro, ceftrioxone.
- (R) to sulphonamides, trim, tetracyclines.
- Treatmement failures are much more likely in concurrent HIV.

AMH








