puss filled pimple on my scrotum

hello, i recently found a VERY large pimple on my scrotum (i am 37, gay, sexually active and have had numerous sexual partners).   anyway, i noticed this large pimple, which evnetually over two weeks grew larger and larger and itched like heck.  yesterday I busted it open and out came a whitish goo along with blood.  today it looks like an open wound.  do you know what this is?  i have scheduled an std test for tomorrow as i think its syphillis (syphilis) ... but could i be over reacting and this be folliculitis?

[Emma789]

you are a dirty ***** who likes ****...infected **** at that.

[Emma789]

it bleeped out what i was trying to say...the first blank is someone who sleeps around. and the second and third blanks are another word for a penis, which can also be someone's name.  as is **** clark

[BhumikaMD]

Hi,

You are correct in thinking that this is more likely to be folliculitis than syphilis.

Syphilis is primarily a sexually transmitted disease spread through close contact with an infected person. This leads to development of the lesion of primary syphilis called as Chancre. This lesion is an ulcer which is not painful.

I think you may go ahead with the test, at the same time, you must realize that protection should be used in each encounter and you may get yourself eva,uated for other diseases also. You may also adopt a schedule for this and get evaluated annually.

For this lesion, treatment will depend on the results of the tests. Folliculitis, may need  antibiotics, oral and systemic and some precautions of hygiene.

Hope this helped. Let me know if you may need any more information.

[Dr Santos]

Hi,

How  did the test go? During the primary stage of syphilis, a sore or chancre that is usually painless develops at the site where the bacteria entered the body. This commonly occurs within 3 weeks of exposure. In men, a chancre often appears in the genital area and swelling of the lymph nodes may occur near the area of the chancre. Secondary syphilis, on the other hand,  is characterized by a rash that appears from 4 to 10 weeks after the chancre develops and sometimes before it heals. Other symptoms may also occur, indicating that the infection has spread throughout the body.A rash often develops over the body and commonly includes the palms of the hands and the soles of the feet. Small, open sores may be present on mucous membranes. The sores may contain pus, or moist sores that look like warts may be present.
    
Folliculitis usually resolve on its own and sometimes recur. It would be best to have thi evaluated by your doctor for proper management. Take care and keep us posted.