Erosive and gangrenous balanitis, the balanoposthite érosive circinée of Berdal and Bataille,1 is a fairly uncommon affection, even in large venereal clinics, but its serious character when unrecognized entitles it to more frequent and extended notice in medical literature than it has received up to the present time.
The disease is due to the symbiosis of a fusiform bacillus and a spirochete, which structurally resemble those found in Vincent's angina. The causative organisms were originally described by Müller and Scherber.2 Culturally, they are anaerobic, and both stain readily with dilute carbolfuchsin, a tinctorial reaction which distinguishes the vibrio from the Spirochaeta pallida of Schaudinn and Hoffmann.
The lesions, which develop quickly on the glans or foreskin, usually are single, in contradistinction to chancroid, and do not give rise to inguinal adenitis. The pus is of a characteristic, foul odor. The local and constitutional symptoms vary with the severity
SUTTON RL. SUBCUTANEOUS INJECTIONS OF OXYGEN IN THE TREATMENT OF BALANITIS GANGRAENOSA. JAMA. 1918;70(10):675. doi:https://doi.org/10.1001/jama.1918.02600100013006
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