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A 27-year-old British male presented with a 1-day history of balanoposthitis and penile discharge. He disclosed multiple, unprotected male partners over preceding months. He had no significant medical history, no history of herpes simplex virus (HSV) and no previous STI screen.
Examination revealed extensive ulceration and swelling of the prepuce, with purulent discharge. He was treated for gonorrhoea, identified on microscopy. Empirical treatment for HSV was also commenced (aciclovir for 10 …
Contributors The work was done by MG and SC. The case was identified and managed by MG. SC completed literature review and writing of initial article. Both authors contributed to refinement of the article and approved the final manuscript.
Competing interests None declared.
Patient consent Obtained.
Provenance and peer review Not commissioned; internally peer reviewed.