Vijayasankar Palaniappan; Gowtham Saravanan; Kaliaperumal Karthikeyan
Abstract
Cutaneous tuberculosis is an extrapulmonary form of tuberculosischaracterized by distinct clinical and histopathologicalpresentations. Tuberculous chancre, a form of primary inoculationtuberculosis, primarily affects individuals with no natural oracquired immunity against the tubercle bacilli. It is ...
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Cutaneous tuberculosis is an extrapulmonary form of tuberculosischaracterized by distinct clinical and histopathologicalpresentations. Tuberculous chancre, a form of primary inoculationtuberculosis, primarily affects individuals with no natural oracquired immunity against the tubercle bacilli. It is commonlyacquired after minor trauma or any traumatic procedures. Initially,it starts as a papule or nodule that gets ulcerated. The ulcer istypically painless, has undermined bluish margins, is friable innature, and heals with atrophic scarring. If left untreated, it canlead to various complications. The tuberculous chancre respondswell to antituberculous therapy. The emergence of resistant strainsand the AIDS epidemic led to a global resurgence of cutaneoustuberculosis in the last century. Hence, awareness of the clinicalmanifestations of cutaneous tuberculosis is necessary for its earlydiagnosis and management. We report a case of tuberculouschancre in a 45-year-old previously healthy male.
Shivam Goyal; Smitha Prabhu S
Abstract
Genital herpes has superseded the bacterial sexually transmitted diseases (STD) as the most prevalent STD seen worldwide, with an estimated 491 million being affected. It is encountered with an increasing frequency, with a prevalence of 11.9% in the USA, and can present in atypical and severe ulcerative ...
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Genital herpes has superseded the bacterial sexually transmitted diseases (STD) as the most prevalent STD seen worldwide, with an estimated 491 million being affected. It is encountered with an increasing frequency, with a prevalence of 11.9% in the USA, and can present in atypical and severe ulcerative forms, especially in human immunodeficiency virus (HIV)-infected individuals. Though a definitive antiviral treatment with acyclovir, valacyclovir or other derivatives exists, the property of latency and reactivation leads to its increasing incidence and prevalence. The common sites of involvement in the males are the glans, prepuce, and shaft of the penis. The male condom, if used appropriately, is the most effective among the barrier methods of contraception, with an additional advantage of protection from STDs. However, it has a failure rate of up to 13%. The efficacy of condoms in preventing herpes simplex virus 2 (HSV-2) transmission has been studied in several contexts; condoms are often associated with a decreased risk of HSV-2 transmission, yet fallacies can occur. Here, we describe a male who developed a primary episode of genital herpes at the base of the penis, despite proper usage of condoms during intercourse. This presentation can be likened to condom chancre, a much-described entity of primary syphilis.