July 9, 1982

Necrotizing Balanitis due to Herpes Simplex Type 1

Author Affiliations

From the Departments of Internal Medicine (Dr Powers, Rein, and Hayden) and Pathology (Dr Hayden), University of Virginia School of Medicine, Charlottesville.

JAMA. 1982;248(2):215-216. doi:10.1001/jama.1982.03330020059031

A previously healthy, 26-year-old heterosexual man experienced necrotic penile ulcerations with fever, rigors, and difficulty voiding. Urethral instrumentation and treatment with antibiotics were associated with progression of the disease. Type 1 herpes simplex virus was isolated from the penile ulcerations and pustular lesions in the groin and antecubital fossae. Recovery was complicated by a urethral stricture requiring surgical treatment. Herpes simplex type 1 must be considered in the differential diagnosis of severe penile ulcerations; isolation of herpesvirus from such lesions may obviate further diagnostic and therapeutic measures that are unnecessary and, in some cases, counterproductive.

(JAMA 1982;248:215-216)