Hello doctor, Male received protected oral and gave protected anal sex to a sex worker. She sat on his chest. It was a licensed establishment which claimed she had been tested regularly. Three days later ended up in the hospital with diarrhea (yellow with mucus) and intense fatigue like never before. They performed many tests and found nothing. Symptoms cleared. Ten days later did STI and STD tests which found nothing. After three weeks he started getting intermittent red spots on the penis. Now balls are very red with no itching.
Hello. According to your description, it can be a bacterial infection (other than STD as tests are negative). An infection acquired through gastrointestinal tract can present like this. The antibiotic course was done for diarrhea or not? Yes, the skin of the scrotum is very red and inflamed (attachment removed to protect patient identity). And indeed requires the antibiotic course for it. Kindly follow this prescription. 1. Tablet Co-Amoxiclav 1 gm BD for one week. 2. Tablet Metronidazole 400 mg TDS for one week. 3. Apply Fusidic Acid ointment BD over the area. 4. Apply Vaseline (Petroleum Jelly) three times. 5. Maintain hygiene of the area. 6. Wash with mild soap and water. 7. Avoid irritants over the area.