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A 43-year-old male presented to the emergency department with a painful wound to his glans penis. Approximately 5 days prior, his significant other accidentally bit him on the tip of the penis during sexual intercourse. Since the initial trauma, the patient noted the wound to be worsening in pain and became darker. On examination, a 3 cm well demarcated black necrotic wound without purulent drainage was present.
As in this case, patients who are bitten on the penis often do not seek immediate medical care, and the disease process often progresses.1 Progression to skin ulceration and infection is common and requires careful wound care and antibiotic therapy.2,3 In rare cases, bites can lead to life threatening infectious such as Fournier's gangrene that require emergent surgical treatment.
https://www.sciencedirect.com/science/article/pii/S240546901930175X