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What skin condition does herpes cause on the penis?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. K. Shobana

Published At May 29, 2022
Reviewed AtSeptember 12, 2023

Patient's Query

Hi doctor,

I have skin sores due to the hot springs, so I used Mupirocin cream. I have attached the picture. Now I feel better as it is healing.

Hello,

Welcome to icliniq.com.

From the image attached (attachment removed to protect the patient's identity), it looks like a bacterial infection. Mupirocin ointment is a very good choice of topical antibiotic. Are the lesions painful, itchy, or foul-smelling with discharge? Before the lesion, was there any history of unprotected sex (apart from your regular partner)?

Patient's Query

Thank you doctor for the reply,

I did not have sex with anyone apart from my partner. The lesion on my penis is painful, but it is not painful in other areas. There is no itching and discharge. If it gets dry, I get a tingling sensation, and I use the cream. I have attached recent photos.

Hi,

Welcome back to icliniq.com,

From the image attached (attachment removed to protect the patient's identity), I understand your concern. I suggest you tablet Azithromycin 500 mg once daily after breakfast and apply Mupirocin ointment twice daily.

Patient's Query

Thank you doctor for the reply,

Why should I take the tablet? Can I kiss my spouse? Is this condition called herpes simplex viral infection?

Hi,

Welcome back to icliniq.com.

Tablet Azithromycin will aid healing. It is not herpes simplex viral infection because herpes has a clustered appearance. So you can kiss your spouse.

Patient's Query

Thank you doctor for the reply,

Can you prescribe the tablet? How long should I take it? Will the lesion recur again?

Hi,

Welcome back to icliniq.com.

Unfortunately, I cannot prescribe you because my prescription is invalid in your country. You should be fine within a week. Apply the Mupirocin and maintain good hygiene.

Patient's Query

Thank you doctor for the reply,

When I consulted a doctor, she told me it looks like herpes.

Hi,

Welcome back to icliniq.com.

A diagnosis like the Tzanck test (smear test) and HSV IgM (herpes simplex virus immunoglobulin M) test is necessary for confirming it as a herpes simplex viral infection. Also, it spreads through unprotected sex from an infected person. You do not have such a history. Herpes is present in the form of blisters, but your lesion appears like a distinct ulcer. So it is not herpes simplex viral infection.

Patient's Query

Thank you doctor for the reply,

I have taken an HSV swab test and will get my results tomorrow. How are you so sure that it is not herpes?

Hi,

Welcome back to icliniq.com.

It is a bacterial infection. Anyways, a swab test will give a final diagnosis.

Patient's Query

Thank you doctor for the reply,

I will send you the reports tomorrow.

Hi,

Welcome back to icliniq.com.

Sure.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Nidhin Varghese
Dr. Nidhin Varghese

Dermatology

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