Herpes simplex virus-2 associated with a large fungating penile mass

Herpes simplex virus-2 associated with a large fungating penile mass

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A 48-year-old male with HIV/AIDS presented with an enlarging nodular lesion on the coleman powermate air tool set base of his penis.Histology revealed changes consistent with chronic viral infection and culture grew herpes simplex virus 2 (HSV-2).The lesion was refractory to trm atom knife valacyclovir and intralesional (IL) cidofovir therapy.

Urology excised the mass and the defect was repaired primarily with good cosmetic result.Post-operative pathology confirmed HSV-2 despite the unusual appearance of the lesion consisting of nodular mass without gross ulceration.