Penile ulcer from traumatic orogenital contact

Abstract

Human bite injuries, although less frequent than animal bites, usually stem from aggressive behavior, sports participation, or sexual activity. Human genital bites and similar traumatic events also occur, but are infrequently reported because of embarrassment. A genital ulceration following mild trauma during oral-genital contact is reported and appropriate diagnostic and therapeutic interventions reviewed. The ulcer was infected, as verified by culture, with an aggressive oral flora organism, Eikenella corrodens. The genital ulceration healed following appropriate antibiotic therapy. Treatment of human bites focuses on obtaining an accurate history and salient physical examination, as well as performing early irrigation and debridement. Prophylactic antibiotic treatment and primary closure of bite wounds remain areas of controversy. Because there is an inherent high risk of infection, genital human bite wounds (and similar traumatic events related to orogenital contact) should be managed with prophylactic antibiotic administration.