Multiple Genital Ulcer on a Male Patient Due to Fungal Balanoposthitis Suspect of Candida Albicans Infection Mimicking Genital Herpes: A Case Report

Wresti Indriatmi, Giorgio Barnes Komala

2019

Abstract

Genital ulcer can be caused by an infectious or non-infectious diseases. The appearance of genital ulcer can mimick one to another causative etiologies, so it becomes difficult to differentiate. We report one case of 34-year-old male, uncircumcised, with a painful multiple genital ulcer, he only have a sexual intercourse with his wife, but conduct an oral sex. So our working diagnosis was genital herpes and we treated the patient with valacyclovir 500 mg, twice daily, for 7 days. But turns out, the result of the culture for microorganism was shown an unspecified fungal colonies growth, instead of bacteria. And also, after one-week treatment, the ulcer became more profound and felt itchy rather than pain. We changed our working diagnosis to balanoposthitis due to fungal infection with a suspicion of Candida albicansand treated the patient with fluconazole 150 mg, single dose, bifonazole 1% cream and hydrocortisone 1 % cream twice daily. After 5 days with a new regimen of treatment, almost all the ulcer was healed, no itchy or pain sensations. With this case report, we hope that as a clinicians, we can be more careful and thorough in examining a patient with a genital ulcer. A KOH examinations can be a consideration for an additional diagnostic tools.

Paper Citation

in Harvard Style

Indriatmi W. and Komala G. (2019). Multiple Genital Ulcer on a Male Patient Due to Fungal Balanoposthitis Suspect of Candida Albicans Infection Mimicking Genital Herpes: A Case Report.In Proceedings of the 2nd International Conference on Tropical Medicine and Infectious Disease - Volume 1: ICTROMI, ISBN 978-989-758-469-5, pages 325-328. DOI: 10.5220/0009987903250328

in Bibtex Style

@conference{ictromi19,
author={Wresti Indriatmi and Giorgio Barnes Komala},
title={Multiple Genital Ulcer on a Male Patient Due to Fungal Balanoposthitis Suspect of Candida Albicans Infection Mimicking Genital Herpes: A Case Report},
booktitle={Proceedings of the 2nd International Conference on Tropical Medicine and Infectious Disease - Volume 1: ICTROMI,},
year={2019},
pages={325-328},
publisher={SciTePress},
organization={INSTICC},
doi={10.5220/0009987903250328},
isbn={978-989-758-469-5},
}

in EndNote Style

TY - CONF

JO - Proceedings of the 2nd International Conference on Tropical Medicine and Infectious Disease - Volume 1: ICTROMI,
TI - Multiple Genital Ulcer on a Male Patient Due to Fungal Balanoposthitis Suspect of Candida Albicans Infection Mimicking Genital Herpes: A Case Report
SN - 978-989-758-469-5
AU - Indriatmi W.
AU - Komala G.
PY - 2019
SP - 325
EP - 328
DO - 10.5220/0009987903250328