Trichomonas vaginalis Associated with Chronic Penile Ulcers and Multiple Urethral Fistulas

Bernadett I. Gosnell Department of Infectious Diseases, Nelson R. Mandela School of Medicine University of KwaZulu-Natal, Durban, South Africa; King Edward VIII Hospital, Infectious Diseases Specialists' Clinic, Congella, Durban, South Africa; Department of Medicine, Divisions of Infectious Diseases/Chronic Viral Illness Service, and Lachine Hospital, McGill University Health Centre, Montreal, Quebec, Canada; Cytology Laboratory, Academic Complex, KwaZulu-Natal, National Health Laboratory Service, Durban, South Africa

Search for other papers by Bernadett I. Gosnell in
Current site
Google Scholar
PubMed
Close
,
Cecilia T. Costiniuk Department of Infectious Diseases, Nelson R. Mandela School of Medicine University of KwaZulu-Natal, Durban, South Africa; King Edward VIII Hospital, Infectious Diseases Specialists' Clinic, Congella, Durban, South Africa; Department of Medicine, Divisions of Infectious Diseases/Chronic Viral Illness Service, and Lachine Hospital, McGill University Health Centre, Montreal, Quebec, Canada; Cytology Laboratory, Academic Complex, KwaZulu-Natal, National Health Laboratory Service, Durban, South Africa

Search for other papers by Cecilia T. Costiniuk in
Current site
Google Scholar
PubMed
Close
,
Elias Mathaba Department of Infectious Diseases, Nelson R. Mandela School of Medicine University of KwaZulu-Natal, Durban, South Africa; King Edward VIII Hospital, Infectious Diseases Specialists' Clinic, Congella, Durban, South Africa; Department of Medicine, Divisions of Infectious Diseases/Chronic Viral Illness Service, and Lachine Hospital, McGill University Health Centre, Montreal, Quebec, Canada; Cytology Laboratory, Academic Complex, KwaZulu-Natal, National Health Laboratory Service, Durban, South Africa

Search for other papers by Elias Mathaba in
Current site
Google Scholar
PubMed
Close
, and
Mahomed-Yunus S. Moosa Department of Infectious Diseases, Nelson R. Mandela School of Medicine University of KwaZulu-Natal, Durban, South Africa; King Edward VIII Hospital, Infectious Diseases Specialists' Clinic, Congella, Durban, South Africa; Department of Medicine, Divisions of Infectious Diseases/Chronic Viral Illness Service, and Lachine Hospital, McGill University Health Centre, Montreal, Quebec, Canada; Cytology Laboratory, Academic Complex, KwaZulu-Natal, National Health Laboratory Service, Durban, South Africa

Search for other papers by Mahomed-Yunus S. Moosa in
Current site
Google Scholar
PubMed
Close
Restricted access

The case of a 29-year-old, HIV-infected man presenting with Trichomonas vaginalis (TV)–associated chronic penile ulcers and multiple urethral fistulas is described. To our knowledge, this is the first description of chronic TV infection being implicated as the probable cause of a destructive lesion leading to sinus drainage and fistula formation.

Author Notes

* Address correspondence to Mahomed-Yunus S. Moosa, Department of Infectious Diseases, Nelson R. Mandela School of Medicine, University of KwaZulu-Natal, Private Bag 7, Durban 4013, South Africa. E-mail: moosay@ukzn.ac.za

Financial support: No funds were received for the preparation of this manuscript. The patient provided written consent for the publication of this case report and accompanying photographs.

Authors' addresses: Bernadett I. Gosnell and Mahomed-Yunus S. Moosa, Department of Infectious Diseases, Nelson R. Mandela School of Medicine, University of KwaZulu-Natal, Durban, South Africa, E-mails: Gosnell@ukzn.ac.za and moosay@ukzn.ac.za. Cecilia T. Costiniuk, Lachine Hospital of the McGill University Health Centre, Lachine, Quebec H8S 3N5, Canada, E-mail: c.costiniuk@gmail.com. Elias Mathaba, NHLS Cytology Laboratory, Academic Complex, KwaZulu-Natal, Durban, South Africa, E-mail: elias.mathaba@nhls.ac.za.

  • 1.

    Krvavac S, 1990. Genitorectal Trichomonas invasion as (co)-factor in pathogenesis of Behcet's syndrome. Ann Rheum Dis 49: 423.

  • 2.

    Krieger JN, 1995. Trichomoniasis in men: old issues and new data. Sex Transm Dis 22: 8396.

  • 3.

    Allison GG, 1943. Trichomoniasis in the male: a seventh venereal disease? South Med J 36: 821823.

  • 4.

    Weston TE, Nicol CS, 1963. Natural history of trichomonal infection in males. Br J Vener Dis 39: 251257.

  • 5.

    Catterall RD, Nicol CS, 1960. Is trichomonal infestation a venereal disease? BMJ 1: 11771179.

  • 6.

    Arroyo R, Alderete JF, 1995. Two Trichomonas vaginalis surfaces proteinases bind to host epithelial cells and are related to levels of cytoadherence and cytotoxicity. Arch Med Res 26: 279285.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 7.

    Lubick KJ, Burgess DE, 2004. Purification and analysis of a phospholipase A2-like lytic factor of Trichomonas vaginalis. Infect Immun 72: 12841290.

  • 8.

    Hobbs MM, Sena AC, 2013. Modern diagnosis of Trichomonas vaginalis infection. Sex Transm Infect 89: 434438.

  • 9.

    Krieger JN, Verdon M, Siegel N, Holmes K, 1993. Natural history of urogenital trichomoniasis in men. J Urol 149: 14551458.

Past two years Past Year Past 30 Days
Abstract Views 1107 443 33
Full Text Views 1974 9 4
PDF Downloads 1387 9 4
 

 

 

 
 
Affiliate Membership Banner
 
 
Research for Health Information Banner
 
 
CLOCKSS
 
 
 
Society Publishers Coalition Banner
Save