Answer 2 Chancroid. The combination of a painful genital ulcer and tender suppurative inguinal adenopathy suggests the diagnosis of chancroid. The causative organism in chancroid is Haemophilus ducreyi. Granuloma inguinale, caused by Klebsiella granulomatis, presents with a painless ulcerative lesion without regional lymphadenopathy. Primary lymphogranuloma venereum begins as a small, painless papule or pustule that may erode to form a small ulcer that usually heals rapidly. Gonorrhea would present with a purulent urethral discharge. Click here to return to the questions
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