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Annales de Dermatologie et de Vénéréologie
Sous presse. Epreuves corrigées par l'auteur. Disponible en ligne depuis le mercredi 15 janvier 2020
Doi : 10.1016/j.annder.2019.08.022
Received : 25 November 2018 ;  accepted : 20 August 2019
Haemophilus parainfluenzae -related cellulitis of the penis following tearing of a short frenulum
Erysipèle du pénis à Haemophilus parainfluenzae compliquant une rupture du frein
 

J.-N. Dauendorffer a, b, , M. Janier a, b, M. Bagot a, S. Fouéré a, b
a STI Unit, dermatology department, Saint Louis university hospital, 1, avenue Claude Vellefaux, 75010 Paris, France 
b The Infectious Dermatological Disease and Sexually Transmissible Infections group (GrIDIST), French Society of Dermatology, 10, cité Malerherbes, 75009 Paris, France 

Corresponding author. STI Unit, dermatology department, Saint Louis university hospital, 1, avenue Claude Vellefaux, 75010 Paris, France.STI Unit, dermatology department, Saint Louis university hospital1, avenue Claude VellefauxParis75010France
Summary
Introduction

Infectious cellulitis is a common disease, mostly affecting the lower extremities and the face but only rarely the genitalia.

Observation

A 24-year-old male patient presented with acute erythematous edema of the penile shaft and foreskin present for 48hours. Gentle retraction of the foreskin revealed a short frenulum with a small area (2–3mm) of erosion. He had had unprotected genital and orogenital sex three days before with his usual female partner and reported tearing of the frenulum during intercourse. Ampicillin-sensitive Haemophilus parainfluenzae was isolated from the swab taken from the erosion of the frenulum. Clinical remission was obtained following oral administration of amoxicillin and clavulanic acid.

Discussion

We describe not only the first case of Haemophilus parainfluenzae -associated cellulitis of the penis but also the first report of penile cellulitis following erosion of a short frenulum during sexual intercourse.

The full text of this article is available in PDF format.
Résumé
Introduction

L’érysipèle est une dermatose courante, prédominant aux membres inférieurs et à la face, mais affectant rarement la zone génitale.

Observation

Un patient de 24 ans présentait depuis 48heures un érysipèle sous la forme d’un œdème inflammatoire du fourreau du pénis et du prépuce, associé à une érosion du frein. L’examen bactériologique de cette érosion mettait en évidence Haemophilus parainfluenzae . Le patient rapportait un rapport sexuel non protégé génital et oro-génital avec sa partenaire habituelle 3jours auparavant, rapport au cours duquel était survenue une rupture du frein. Une guérison complète était obtenue sous amoxicilline et acide clavulanique par voir orale.

Discussion

Nous rapportons le premier cas d’érysipèle du pénis lié à Haemophilus parainfluenzae mais aussi le premier cas d’érysipèle du pénis secondaire à une rupture percoïtale du frein.

The full text of this article is available in PDF format.

Keywords : Cellulitis, Erysipelas, Penis, Haemophilus parainfluenzae

Mots clés : Dermo-hypodermite, Erysipèle, Pénis, Haemophilus parainfluenzae




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