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January 1986

Cutaneous Shigellosis

Author Affiliations

Department of Dermatology Kaiser Permanente Medical Center 1515 N Vermont Ave, Eighth Floor Los Angeles, CA 90027

Arch Dermatol. 1986;122(1):22. doi:10.1001/archderm.1986.01660130024016

To the Editor.—  Shigellosis has been identified as one of the sexually transmissible diseases1; however, a purely cutaneous form of sexually transmitted shigellosis has never been described, to my knowledge. Such a case is presented herein.

Report of a Case.—  A 22-year-old homosexual man presented to the Dermatology Clinic at Kaiser Permanente Medical Center, Los Angeles, with a three-week history of a tender 1-cm furuncle on the dorsal penile shaft. There was nontender left inguinal adenopathy. The patient admitted to having gonorrhea one month earlier, for which he was treated with intramuscular penicillin. There were no gastrointestinal or urinary tract symptoms, and the patient was otherwise in good health. A regimen was begun of erythromycin, 250 mg orally four times daily; aluminum sulfate and calcium acetate soaks; and gentian violet, topically. Cultures of the penile lesion yielded Shigella flexneri sensitive to ampicillin, carbenicillin, gentamicin sulfate, kanamycin sulfate, chloramphenicol, trimethoprim-sulfamethoxazole,