DOI: 10.1177/09564624241241103 ISSN: 0956-4624
Penile median raphe gonococcal infection
Blanca Santos-Latasa, Francisco-Javier Bru-Gorraiz, Alejandro Martin-Gorgojo- Infectious Diseases
- Pharmacology (medical)
- Public Health, Environmental and Occupational Health
- Dermatology
The occurrence of cysts and papulopustules along the midline penile raphe, as a complication of gonococcal urethritis, is considered an exceptional presentation. These lesions are related to developmental abnormalities in the fusion of the lower portion of the ventral abdominal wall during embryogenesis, which create small pathways along the raphe of the penis, prone to secondary infection in the presence of gonococcal urethritis. We present the case of a 25-year-old male who experienced these lesions twice, coinciding with two separate episodes of gonococcal urethritis following unprotected sex. Treatment with intramuscular ceftriaxone resolved both the urethritis and cystic lesions.