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Article |

Necrotizing Balanitis due to Herpes Simplex Type 1

Robert D. Powers, MD; Michael F. Rein, MD; Frederick G. Hayden, MD
JAMA. 1982;248(2):215-216. doi:10.1001/jama.1982.03330020059031.
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A previously healthy, 26-year-old heterosexual man experienced necrotic penile ulcerations with fever, rigors, and difficulty voiding. Urethral instrumentation and treatment with antibiotics were associated with progression of the disease. Type 1 herpes simplex virus was isolated from the penile ulcerations and pustular lesions in the groin and antecubital fossae. Recovery was complicated by a urethral stricture requiring surgical treatment. Herpes simplex type 1 must be considered in the differential diagnosis of severe penile ulcerations; isolation of herpesvirus from such lesions may obviate further diagnostic and therapeutic measures that are unnecessary and, in some cases, counterproductive.

(JAMA 1982;248:215-216)


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