Burning Groin

[uptownnotown]

Hello,  I've been having an ongoing problem that seems to only get worse.   Was in Nevda last year and went to a brothel for the 1st and last time in my life.  I received protected fellatio.  The csw was very forcefull and pulled the condom halfway off during the event with her hand.  She put it back on and finished.  3 days later I felt a tingling on my scrotum.  At the time is attributed it to paranoia and put it out of my mind.  Then about 7 days after the incident I noticed small bumps on my shaft.  They were really only noticable when errect.  3 weeks later there was a bit more tingling and a few more little bumps.   3 more weeks pass and my scrotum turns red and irritated and starts to burn.   the burning continues and spreads in the folds of my skin (thighs).  my entire scrotum and penis burn.    My arms, chest, back and face have broken out. And my throat is sore with little bumps and there is a whitish coating on my tounge. This has been going on for months.  And the pain has been excruciating.

I've been tested for all STDs and all negative.  Been treated for fungal/yeast.  As well as a few different antibiotics to no avail.  Creams have made it worse.  I've tried just about everything I can think of.  

Could this possibly be streptococcal dermatitis?  

I have read that SD is often misdiagnosed for long periods and patients are subjected to treatments for a variety of differential diagnoses without success. Patients can be asymptomatic for bacterial infections.  I've also read that it's been passed via fellatio "group A beta-eaemolytic streptococcal pyroderma"

I know that this is an infection of some sort.  I just don't know what.  And no doctors have been able to figure it out thus far.  
Please let me know your thoughts.

Thank you

[dkknight593]

First of all your in the wrong forum.  You should be in STD.  Even though your tests came back negative, because it was "sexually transmitted" even if it wasn't any of those classic STD's.  

Second I don't think it's SD because it usually happens in infants, usually associated with groin, and tends not to make bumps. Not poitive though.
It could be Staphylococcus aureus.  It usually grows on skin, nose, and sometimes throught.  It may create fluid filled pimples or blisters.

Did they do skin cultures?

[uptownnotown]

I've been to the STD forum, but they tell me it's not an "STD".  I'm 100% sure it was aquired sexually, but it's obviously not any of the usual suspects.  So I'm trying here.  I don't know that it's staph or not.  Skin swabs haven't turned anything up.  I've never had  blisters, but did have one solitary white head pimple on my groin that lasted about a week and went away.  The bumps are tiny hair follicles.  They were never pronounced before this.  I don't think that they are part of the infection, but just a result of it.  I'm pretty desperate at this point to be honest.  Constant burning of the scrotum is pretty painful and after 1 year of this, jeez.  But at this point the possibilities of what it could be are limitless.  I just want to narrow things down.  It's certainly something and not in my head.  When I 1st got it, it wasn't very bothersome at all and I wasn't worried.  Just thought it was jock itch like my doc said or just a mild infection that would go away.  It didn't look like any std then either.    But Staph has been brought up before as a possible culprit.

Thanks,

[uptownnotown]

wow, you're really not much help at all are you?  Bumps, burning, swollen lymph nodes, and white coating on one's tounge are not psychic manifestations.  

[uptownnotown]

I have forgotten one important detail.  After I was told by a couple different doctors that this was not transmissible I started relations with a girl and have since passed this on to her.  Her arms, chest, back and face have broken out. And her throat is sore with little bumps and there is a whitish coating on her tounge as well.  She does not have any burning sensations in her groin area though.  Thus I can only assume that this is strictly oraly transmitted.

[uptownnotown]

Thank you for your reply.  Sorry for the follow up, but I do have a couple more questions.

I know that it's not an STD.  As I stated earlier all of those tests were negative and the symptoms don't fit with any of those diseases.    I am quite certain that my symptoms are not psychic.  Undoubtedly my symptoms have caused me much psychological distress.  But I did not have any psychological distress prior to the pain nor even in the first stages of the symptoms.  I actually assumed it was just a minor infection and didn't worry about it at all.  

Why would it not be a strep infection?  

What type of infection could it possibly be?

And could it be just an uncommon virus that is not documented?  

I know that some viruses last forever.  And some last a few weeks.  Are there viruses that last for months/years and then go away?

Thanks again for your time.

[Alan Rockoff, MD]

Your symptoms don't match any disease I know of.  The kind of contact you had would be unlikely to transmit an STD in any case.  Also, you have been tested for STD's and found not to have them.  If your doctors can't find anything, that probably means you don't have anything.  You certainly don't have a strep infection, for more reasons than I can go into.  I think your symptoms of soreness and burning are psychic, not physical, and I think you need help along that line, not more STD tests and internet research.

Good luck.

Dr. Rockoff