20 yr old girl,married life 7/12,complained of a small boil on the right labia majors. it was like a pustule.I gave tab cefuroxime 250 mg twice a day .she came today with this lesion. oedema of labia majora and the earlier pustule is ulcerated with a sharp edge.VDRL,HIV,HbS Ag HCG of both husband and wife are negative. what can be the possible diagnosis and management.

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It seems to be a case of Ruptured Bartholian abscess .needs investigation like cell culture, Enzyme immunoassay IGg IG m ,PCR. along primary tests. Choice of antibiotics doxycycline,/erythromycin/azithromycin. Partner must be screen & treated. A patient with one STD is likely to have another & hence screening for other STDs & HIV is essential of both.
She is a case of STD. Treat with doxycycline 100mg twice a day for 14days Tab metrogyl 400mg tds for 5days Tab enzomac forte twice a day for 5 days. Think of LGV, chancroid
Seems tone Chancroiid only. Adv CBC,vdrl,HIV. H/o the pts husband as well.
to be
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It was like a pustule before nd ulcerated now with sharp edges may be carbuncle.Adv.blood sugar nd Haemogram.Presence of hair follicles near the labia causing infection.See for the lymph nodes of groin.T.Augmentin 625 mg bd for 7-10 days.Antibiotic cream for local application.
Barthoolin abscess rupture at mucosal area. So it is STD Canchriod 14 days dose of antibiotics Azithromycin 500 BD Metrogyl 400 BD Chymoral fort 1 TDS before food
It seems to be the case of Chancroid.. Azithromycine 1 gm as Single dose. or Erythromycin 500 mg base three times a day for seven days.
STD- cancroid.. Tab doxy 100mg bd 14 days Tab azee 500mg od 7days
It's look like ruptured Bartholin abscess .
Canchroid.
Chancroid
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