Multiple painful ulcers over glans without in duration is suggestive of –
**Core Concept**
Chancroid is a sexually transmitted infection caused by Haemophilus ducreyi, characterized by painful ulcers on the genitalia, typically the glans penis. The ulcers in chancroid are usually multiple and have a short duration.
**Why the Correct Answer is Right**
Chancroid ulcers are caused by the bacterium Haemophilus ducreyi, which invades the skin and mucous membranes of the genitalia. The bacteria produce enzymes that break down the tissue, leading to the formation of painful ulcers. The ulcers in chancroid are often multiple and have a short duration, usually lasting for 7-10 days.
**Why Each Wrong Option is Incorrect**
**Option A:** LGV (Lymphogranuloma venereum) typically presents with a small, painless ulcer (primary lesion) that resolves, followed by lymphadenopathy, which is not characteristic of chancroid.
**Option B:** Granuloma inguinale, caused by Klebsiella granulomatis, presents with single, painless, beefy-red ulcers that bleed easily, which is different from the painful ulcers seen in chancroid.
**Option D:** Secondary syphilis can present with mucocutaneous lesions, but they are typically not painful and are accompanied by other systemic symptoms, such as fever and lymphadenopathy.
**Clinical Pearl / High-Yield Fact**
Remember that chancroid ulcers are typically multiple, painful, and have a short duration, distinguishing them from other sexually transmitted infections like LGV and secondary syphilis.
**Correct Answer:**
✓ Correct Answer: C. Chancroid.