Mycetomatoid infection of the penis by Candida albicans.
BACKGROUND
Mycetoma is generally understood to be a chronic suppurative infection involving the skin and the underlying tissue. Mycetomas may be classified as those produced by true fungi (eumycetoma) versus those due to aerobic bacteria Actinomycetales (actinomycetoma).


METHODS
We report the atypical case of a mycetomatoid infection of the penile shaft and glans in a 36-year-old man, originally from Senegal, affected by Takayasu's arteritis.


RESULTS
Extensive investigations excluded any other causative pathogen other than Candida albicans, and the ailment accordingly healed after fluconazole monotherapy.


CONCLUSIONS
The authors discuss the unusual site of the disease and the singular clinical features related to the fungal etiology and put forward considerations on the pathogenic role of common microorganisms.
Sexually Transmitted Disease Unit, Department of Dermatological Sciences, University of Florence, Florence, Italy.
Antonio
A
Mastrolorenzo
Barbara
B
Giomi
Emanuele Maria
EM
Cipollini
Rosario
R
Tammaro
Nicola
N
Decarli
Daniele
D
Cammelli
Francesca
F
Fabiani Tropeano
Luana
L
Tiradritti
Elisa Margherita
EM
Difonzo
Giuliano
G
Zuccati
D000328:Adult; D000935:Antifungal Agents / Q000627:therapeutic use; D002176:Candida albicans; D002179:Candidiasis, Cutaneous / Q000150:complications / Q000188:drug therapy / Q000382:microbiology*; D015725:Fluconazole / Q000627:therapeutic use; D006801:Humans; D008297:Male; D008271:Mycetoma / Q000150:complications / Q000188:drug therapy / Q000382:microbiology*; D010409:Penile Diseases / Q000150:complications / Q000188:drug therapy / Q000382:microbiology*; D013625:Takayasu Arteritis / Q000150:complications
D000935:Antifungal Agents; D015725:Fluconazole