A case of WATERING CAN PERINEUM caused by Neisseria gonorrhea in a seropositive patient and its serendipitous response to co-trimoxazole

Authors

  • Ajeet Singh Dr RML Hospital New Delhi
  • Sidharth Tandon Dr RML Hospital New Delhi
  • Kabir Sardana Dr RML Hospital New Delhi
  • Konchok Dorjay Dr RML Hospital New Delhi

DOI:

https://doi.org/10.66344/jpad.29.3.2019.1292

Keywords:

Gonorrhoea, AIDS, Watering can perineum, co-trimoxazole

Abstract

Gonorrhoea is a common sexually transmitted disease caused by Neisseria gonorrhoeae. In the modern era of broad-spectrum antibiotics, urethral fistulae (watering can perineum) are one of the rare sequelae of chronic gonococcal infection. Here, we report a case of gonococcal urethritis and watering can perineum in a seropositive patient. The recent worldwide emergence of multidrug-resistant strains of gonococci is alarming. In the present era of HIV pandemic, ineffective treatment of the patient or their partners for gonorrhea may result in the development of these complications. 

Author Biographies

Ajeet Singh, Dr RML Hospital New Delhi

PG Resident Deptt. of Dermatology

Sidharth Tandon, Dr RML Hospital New Delhi

Senior Resident Deptt. of Dermatology

Kabir Sardana, Dr RML Hospital New Delhi

Professor Deptt. of Dermatology

Konchok Dorjay, Dr RML Hospital New Delhi

Senior Resident Deptt. of Dermatology

References

Blandy JP. Urethral Stricture. Postgrad Med J 1980; 56(656): 383-418.

King A, Nicole C and Rodin P. Gonorrhoea in the male. In: venereal diseases 4th ed. Tonbridge: The Whitefriars Press Ltd, 1986: p209.

Fall B, Sow Y, Mansouri I, Sarr A, Thiam A, Diao B et al. Etiology and current clinical characteristics of male urethral stricture disease: experience from a public teaching hospital in Senegal. Int Urol Nephrol 2011; 43(4): 969-74.

Bharara T, Bhalla P, Rawat D, Garg VK, Sardana K, Chakravarti A. Rising trend of antimicrobial resistance among Neisseria gonorrhoeae isolates and the emergence of N. gonorrhoeae isolate with decreased susceptibility to ceftriaxone. Indian J Med Microbiol 2015; 33(1): 39-42.

Read T, Mijch A, Ostergaard L. Gonococcal perianal abscess: re-emergence after cessation of co-trimoxazole. Sex Transm Infec 2002; 78(5): 389.

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Published

2019-10-21

How to Cite

1.
Singh A, Tandon S, Sardana K, Dorjay K. A case of WATERING CAN PERINEUM caused by Neisseria gonorrhea in a seropositive patient and its serendipitous response to co-trimoxazole. J Pak Assoc Dermatol [Internet]. 2019Oct.21 [cited 2026Apr.22];29(3):338-40. Available from: https://www.jpad.com.pk/index.php/jpad/article/view/1292

Issue

Vol. 29 No. 3 (2019): July - September

Section

Case Reports

License

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Authors retain the copyright to their work and grant the 'Journal of Pakistan Association of Dermatologists (JPAD)' the right of first publication under a Creative Commons Attribution 4.0 International (CC BY 4.0) license. This license allows others to share, adapt, and reuse the work for any purpose, including commercial use, as long as appropriate credit is given to the original authors and the journal.

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