Male genital allergy with penile oedema and severe aseptic urethritis, due to vulvovaginal candidiasis, simulating sexually transmitted infection

  • Kamel El-Reshaid Department of Medicine, Faculty of Medicine, Kuwait University, P O Box 24923, 13110 Safat, Kuwait
  • Hosameldin Tawfik Sallam Department of Medicine, Amiri hospital, Ministry of Health, Kuwait

Abstract

Sexually transmitted diseases (STDs) are frequently encountered and more than 1 million are acquired daily.  Genital allergy (GA), on the other hand, is another uncommon cause of sexually transmitted disorders that should be considered if no infection is identified or genital soreness persists or worsens with antimicrobial therapy.  In this case report; we present a patient, with severe GA (type I hypersensitivity reaction) to vulvovaginal candidiasis in his sex partner.  He was initially misdiagnosed as STD as he presented with severe penile and urethral oedema culminating in hematuria and bladder neck obstruction due to severe urethral oedema. Our systematic approach in diagnosis and hence treatment of the patient and his sex partner is outlined.


Keywords: Candidiasis, genital allergy, penile oedema, STD, urethritis.

Keywords: Candidiasis, genital allergy, penile oedema, STD, urethritis

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Author Biographies

Kamel El-Reshaid, Department of Medicine, Faculty of Medicine, Kuwait University, P O Box 24923, 13110 Safat, Kuwait

Department of Medicine, Faculty of Medicine, Kuwait University, P O Box 24923, 13110 Safat, Kuwait

Hosameldin Tawfik Sallam, Department of Medicine, Amiri hospital, Ministry of Health, Kuwait

Department of Medicine, Amiri hospital, Ministry of Health, Kuwait

References

1- WHO factsheet. WHO. Dec 2015- 2015 Sexually Transmitted Diseases Treatment Guidelines: Diseases Characterized by Urethritis and Cervicitis. Centers for Disease Control and Prevention. Available at https://www.cdc.gov/std/tg2015/urethritis-and-cervicitis.htm. June 4, 2015; Accessed: December 18, 2020.
2- Young A, Toncar A, Wray AA. Urethritis. [Updated 2020 Dec 14]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2021 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK537282.
3- Sonnex C. Genital allergy. Sex Transm Infect. 2004; 80:4–7.
4- English J. Current concepts of irritant contact dermatitis. Occup Enviro Med. 2004; 61:722-726.
5- Bauer A, Geier J, Elsner P. Allergic contact dermatitis in patients with anogenital complaints. J Reprod Med. 2000; 45:649–654.
6- Nosal R. Histamine release from isolated rat mast cells due to glycoprotein from Candida albicans in vivo. J Hygiene Epidem Microbiol Immunol. 1974; 18:377–8.
7- Fidel PL Jr, Sobel JD. Immunopathogenesis of recurrent vulvovaginal candidiasis. Clin Microbiol Rev. 1996; 9:335–48.
8- Catterrall RD. Urethritis and balanitis due to Candida. In: Winner HI, Hurley R, eds. Symposium on candida infection. London: Livingstone, 113–8.
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1.
El-Reshaid K, Sallam HT. Male genital allergy with penile oedema and severe aseptic urethritis, due to vulvovaginal candidiasis, simulating sexually transmitted infection. JDDT [Internet]. 15May2021 [cited 15Jun.2021];11(3):4-. Available from: https://jddtonline.info/index.php/jddt/article/view/4699