Painful ulcers over genitalia are caused by –
**Core Concept**
Chancroid is a sexually transmitted infection (STI) caused by the bacterium Haemophilus ducreyi, characterized by painful ulcers on the genitalia. This condition is often confused with genital herpes or primary syphilis due to overlapping symptoms.
**Why the Correct Answer is Right**
Chancroid typically presents with one or more painful ulcers, often accompanied by tender lymphadenopathy, particularly in the groin area. The presence of a painful ulcer is a key distinguishing feature from other STIs like primary syphilis, which usually causes a painless chancre. Haemophilus ducreyi produces enzymes like hyaluronidase that facilitate the breakdown of the extracellular matrix, leading to tissue destruction and ulcer formation.
**Why Each Wrong Option is Incorrect**
**Option A:** Primary syphilis is characterized by a painless chancre, which typically appears at the site of inoculation. The painless nature of primary syphilis makes it distinct from chancroid.
**Option B:** Granuloma inguinale (also known as Donovanosis) is another STI caused by Klebsiella granulomatis. It presents with painless, beefy-red ulcers that bleed easily, making it distinct from chancroid.
**Option D:** Lymphogranuloma venereum (LGV) is an STI caused by Chlamydia trachomatis. It typically presents with a painless papule or ulcer, followed by tender lymphadenopathy and systemic symptoms.
**Clinical Pearl / High-Yield Fact**
Chancroid is a reportable disease in many countries, and prompt diagnosis and treatment are essential to prevent complications like urethral or rectal strictures, as well as the transmission of the infection to others.
**✓ Correct Answer: C. Chancroid**