RT Journal Article
SR Electronic
T1 Sexually transmitted penile amoebiasis in Iran: a case series
JF Sexually Transmitted Infections
JO Sex Transm Infect
FD BMJ Publishing Group Ltd
SP 585
OP 588
DO 10.1136/sextrans-2012-050577
VO 88
IS 8
A1 Alireza Abdolrasouli
A1 Henry J C de Vries
A1 Yahya Hemmati
A1 Azita Roushan
A1 Jason Hart
A1 Michael Anthony Waugh
YR 2012
UL http://sti.bmj.com/content/88/8/585.abstract
AB Objectives Four cases of penile amoebiasis (PA) presenting as genital ulceration seen among men who practiced unprotected insertive anal intercourse in Tehran are described. Methods PA was confirmed by observation of motile trophozoites of Entamoeba histolytica from lesions examined by wet mount microscopy. Results Ulcers were solitary, painful, irregular, discharging and increasing in size. Three heterosexuals and one bisexual had practised insertive anal intercourse in the 2 weeks before diagnosis. Bilateral inguinal lymphadenitis occurred in one case. Direct examination of lesions was positive for the presence of amoebic trophozoites. Complete resolution occurred after treatment with oral metronidazole 800 mg three times daily for 7–10 days. Conclusions Clinicians need to be aware of cutaneous amoebiasis in sexually active men who practice unprotected insertive anal sex where intestinal amoebiasis is endemic. Wet mount microscopy is a rapid and useful diagnostic test.