Patient's Query
Hello doctor,
I am HIV (human immunodeficiency virus) positive. These days, I am having rashes on my penis foreskin (it is bad sometimes). I am on ART (anti-retroviral treatment). But the foreskin infection these days scares me. My foreskin seems to be rough, reddish, broken sometimes, and even though I do not masturbate. Please guide me.
Hi,
Welcome to icliniq.com.
I have gone through your query, and I have noted your concern. Firstly, I request you to kindly upload an image of the affected area so that I can have a look at the skin and guide you accordingly in the best possible way.
Thank you.
Patient's Query
Hi doctor,
I have sent you the images. I have been under ART meditation for the past month. My CD4 count was above 400, and all my tests were normal, such as VDRL (Venereal Disease Research Laboratory). However, on seeing the X-ray, the doctor has given me EPTB (extra-pulmonary tuberculosis) medicines as well for some time. But I think EPTB medicines have nothing to do with this infection. Skin goes bad, such as becoming reddish, swollen, and sometimes cracked as well. As you can see, it is reddish, swollen, and cracked too. I asked a doctor, and he suggested I apply Neosporin. Sometimes it is fine, but most of the time it scares me. I always keep the penis neat and clean with hot water. Can this penile infection be removed permanently?
Kindly help.
Hi,
Welcome back to icliniq.com.
I have viewed the images (attachment removed to protect patient identity). I can see a few erosions on the underside of the prepuce. This could be either a fungal/yeast infection, or these erosive lesions could be a manifestation of genital herpes simplex virus (HSV) infection. I suggest you take an oral antifungal, e.g., a tablet of Fluconazole 150 mg once a day for three days. Also, I suggest you take an oral antiviral, e.g., tablet Acivir (Acyclovir) 400 mg thrice daily for a week. Topically, I suggest you apply T-Bact (Mupirocin) cream twice daily. Consult your specialist doctor, discuss with him or her, and take medications with their consent. I advise you to take a laboratory test for herpes simplex virus - HSV ELISA (enzyme-linked immunosorbent assay) type 1 and 2, IgG and IgM.
I hope this helps.
Thank you.
Patient's Query
Hi doctor,
I have got the reports. Please take a look.
Thank you.
Hi,
Welcome back to icliniq.com.
I have viewed reports (attachment removed to protect patient identity). The index value of immunoglobulin G for HSV types 1 and 2 is more than 1. It suggests that you have a herpes simplex virus infection. Your genital lesions seem to be due to herpes simplex virus infection.
I hope this helps.
Thank you.
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Answered byDr. Kakkar
Medically reviewed byiCliniq medical review team
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