
Herpetic Chancre
Te-Wen Chang, MD;
Nicholas Fiumara, MD;
Louis Weinstein, MD
Tufts-New England Medical Center Boston
JAMA. 1973;224(1):129-130.
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To the Editor.—
A case of solitary penile ulcer was found to be due to a combined infection by Treponema pallidum and Herpesvirus hominis. Although herpes progenitalis and syphilitic chancre may develop in one patient simultaneously, their occurrence together in a single lesion is uncommon. A search of literature has failed to reveal such a description. The following is a case of combined infection with H hominis and T pallidum occurring in the form of a single penile ulcer.
Report of a Case.—
A 30-year-old unmarried restaurant worker appeared with a penile lesion of 13 days' duration. He had had repeated sexual exposures earlier. The lesion started as a cluster of three tiny vesicles that rapidly broke and coalesced into a single ulcer. The unusual feature was the absence of pain, itching, or dysuria. A shallow and sharply demarcated 0.5 x 1.5 cm indurated nontender ulcer was seen over the
. . . [Full Text PDF of this Article]
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