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April 2, 1973

Herpetic Chancre

JAMA. 1973;224(1):129-130. doi:10.1001/jama.1973.03220140097026

To the Editor.—  A case of solitary penile ulcer was found to be due to a combined infection by Treponema pallidum and Herpesvirus hominis. Although herpes progenitalis and syphilitic chancre may develop in one patient simultaneously, their occurrence together in a single lesion is uncommon. A search of literature has failed to reveal such a description. The following is a case of combined infection with H hominis and T pallidum occurring in the form of a single penile ulcer.

Report of a Case.—  A 30-year-old unmarried restaurant worker appeared with a penile lesion of 13 days' duration. He had had repeated sexual exposures earlier. The lesion started as a cluster of three tiny vesicles that rapidly broke and coalesced into a single ulcer. The unusual feature was the absence of pain, itching, or dysuria. A shallow and sharply demarcated 0.5 × 1.5 cm indurated nontender ulcer was seen over the