[Question #13531] Clarification for Question #13517
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												 8 hours ago 
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Hello Dr
			I asked a question last week that left me bittersweet and somehow confused since then. This is not an anxiety driven question rather a clarification question. Please refer to my question #13517 for reference.
 I Asked if it’s possible to have chancroid without symptoms and dr Hhh answered that there is no such thing as asymptomatic chancroid, but also noted that Hemophilus ducreyi has sometimes been identified in the genital area in absence of genital ulcer. 
My confusion rest in a fact that how is it possible that there is no such thing as asymptomatic chancroid but sometimes there is asymptomatic hemophilus ducreyi  ?  Aren’t they the same ? and why testing is not recommended to prevent asymptomatic H. Ducreyi?
Bottom line I understand your answer on the other thread saying that '' If you don't have open genital sore (ulcers), you do not have chancroid and do not need testing for it. Period, no exceptions.'' , But i just wanted to clear that up 
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													 H. Hunter Handsfield, MD 
						5 hours ago 
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Welcome back, but I'm sorry you found it necessary. Your own "bottom line" is exactly right and seems to show you are not confused at all. What don't you understand about it?
			In other words, asymptomatic Hemophilus ducreyi and chancroid are NOT the same. To repeat our previous discussion, "chancroid" means genital ulcer (or sometimes skin ulcer in other locations) due to H. ducreyi. Therefore, if there is no ulcer, that person does not have chancroid even if they happen to be carrying H. ducreyi.
OK?
HHH, MD
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