Wednesday, November 5, 2014

A 22-year-old male comes to the clinic reporting
severe penile itching and new skin lesions. His last sexual
encounter was unprotected sex 3 weeks prior with a new
female partner in her bed. He has not seen her since. Over
the last 3 days he’s noticed new lesions on his penis and
scrotum. The lesions are extremely pruritic, particularly
at night and after a shower. His physical examination is
shown in Figure XII-18. Which of the following is the best
therapy?
A. Ceftriaxone plus azithromycin
B. Metronidazole
C. Penicillin G
D. Permethrin
E. Vancomycin

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