Match each sexually transmitted pathogen with its characteristic primary clinical presentation.
- Treponema pallidumSingle painless, indurated genital ulcer with a clean base and bilateral non-tender lymphadenopathy
- Haemophilus ducreyiMultiple painful, deep genital ulcers with a purulent base and tender inguinal lymphadenopathy
- Klebsiella granulomatisPainless, progressive, beefy-red vascular genital ulcer bleeding easily on contact, without associated lymphadenopathy
- Chlamydia trachomatis (serovars L1-L3)Transient small painless genital ulcer followed weeks later by painful, fluctuant inguinal lymphadenopathy (buboes)
Cevap
Treponema pallidum pairs with the painless indurated ulcer; Haemophilus ducreyi with the painful purulent ulcer; Klebsiella granulomatis with the painless beefy-red ulcer without lymphadenopathy; and Chlamydia trachomatis L1-L3 with the transient ulcer followed by fluctuant buboes.
Genital ulcer diseases are classic presentations that must be differentiated clinically. Treponema pallidum causes primary syphilis, noted for a painless chancre with a clean base. Haemophilus ducreyi causes chancroid, which produces a painful, purulent ulcer with tender nodes. Klebsiella granulomatis causes donovanosis, resulting in a painless, beefy-red, highly vascular ulcer without associated lymphadenopathy. Finally, Chlamydia trachomatis L1-L3 causes lymphogranuloma venereum, starting as a painless transient ulcer and eventually causing painful buboes.
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Anahtar Kavram
Differentiating genital ulcer diseases by pain profile, ulcer characteristics, and lymphadenopathy.