Coexistence of chancroid and donovanosis in HIV with low CD4 count: a rare case

Ravikanti ., Sunitha B. R., Vishwanath ., Murugesh B


Genital ulceration as a syndrome has been associated with increased transmission of HIV. The purpose of the present study is to establish skin diseases as clinical indicators of underlying immune status and help in clinical monitoring by estimating and correlating with low CD4 count. This study concludes that, cutaneous manifestations can be considered as good clinical indicators to predict and assess the underlying immune status and reviews the need to be aware of this entity.


Genital ulceration, Chancroid, Donovanosis, Low CD4 count

Full Text:



Krishnam Raju PV, Raghurama Rao G, Ramani TV, Vandana S. Skin Disease: Clinical indicator of immune status in human immunodeficiency virus infection. Int J Dermatol 2005; 4: 646-9.

Levis DA, Chancroid: Clinical manifestations, diagnosis and management. Sex Transm Infect 2003; 79:68-71.

Jamkhedkarpp, Hira SK, Shroff HJ. Clinicoepidemiologic features of granuloma inguinale in era of acquired immunodeficiency syndrome. Sex Transm Infect 1998; 25:196-200.

Balachandran C, Satish Pai.B, Ganesh R. Donovanosis, In: Nusman, DM Thappa, HK Kar, Y.S.Marfatia, Sexually transmitted diseases and HIV/AIDS, 2nd ed, New Delhi, 2011:338-355.

Collee JG, Fraser AG, Marimon BP, Simmons A, Mackie, Mc Cartney, Practical Medical Microbiology, 14th ed, Elsevier, New Delhi.