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PRIMARY PUSTULAR GONORRHEA OF THE SKIN

JEROME L. BYERS, M.D.; DAVID F. BRADLEY, M.D.
AMA Arch Derm Syphilol. 1953;68(5):503-505. doi:10.1001/archderm.1953.01540110025003.
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PRIMARY cutaneous infection by Neisseria gonorrhoeae, without urethritis, following sexual contact is an unusual venereal disease entity generally overlooked. A patient with a penile ulceration appearing 35 days after contact was proved, by Lowry and Franks (1943),1 to have gonorrhea resistant to sulfathiazole treatment but cured by cauterization of the lesion. Kroll and Cohart (1944)2 reported two proved cases of primary penile ulceration due to N. gonorrhoeae, in which treatment with sulfathiazole was successful. A fourth patient was successfully treated with crystalline penicillin G in peanut oil, 300,000 units daily for seven days, by Scott and Thomsen (1950).3 A patient with gonorrheal pustule on the penis was treated successfully with 2.0 gm. of aureomycin by Marmell (January, 1952 )4 after failing to respond to 2,900,000 units of penicillin. Readers are referred to the article by Kroll and Cohart for an extensive bibliography of French and

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