Abstract
We present the case of a 27-year-old male patient who presented with fever and scrotal ulcer after pharyngotonsillar symptoms. The differential diagnosis with other entities that present with scrotal ulcer is proposed, including Fournier's gangrene and vascular ulcer secondary to infection by the SARS-CoV-2 virus.
Highlights
Juvenile gangrenous vasculitis of the scrotum is an entity of unknown etiology, indolent and with a benign development, which appears in young men as a generally unique, painful and spontaneous necrotic ulcer at the scrotal level, characteristically after an infection of the upper respiratory tract
We report the case of a 27-year-old man who consulted for a necrotic ulcer at the level of the right hemiscrotum and a fever over 38oC after an episode of pharyngotonsillitis treated with amoxicillin-clavulanic acid
Juvenile gangrenous vasculitis of the scrotum is pathology with few cases described in the literature;
Summary
Juvenile gangrenous vasculitis of the scrotum is an entity of unknown etiology, indolent and with a benign development, which appears in young men as a generally unique, painful and spontaneous necrotic ulcer at the scrotal level, characteristically after an infection of the upper respiratory tract. Fever may be present in this pathology, but no relevant complications have been described in relation to its appearance [1]. The lesion appears as a raised area of a few millimeters two days after the onset of the infectious episode and ulcerates from the fourth day (Figure 1). It presents a rapid evolution until it becomes a necrotic plaque approximately 2cm in diameter on the tenth day (Figure 2), when the patient is referred to the emergency room from the out-of-hospital emergency department to exclude Fournier’s gangrene. In the outpatient follow-up, a good evolution of the ulcer is confirmed (Figure 4), disappearing completely one month after its appearance
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