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STDs  (Expert Forum)
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Can an incidence of NGU trigger a fungal skin infection of just the right foot?
Answered by
University of Washington Seattle - WA
Welcome to the STD Forum, which is intended only for questions and support pertaining to sexually transmitted diseases other than HIV/AIDS, including chlamydia, gonorrhea, syphilis, human papillomavirus, genital warts, trichomonas, other vaginal infections, nongonoccal urethritis (NGU), cervicitis, molluscum contagiosum, chancroid, and pelvic inflammatory disease (PID). All questions will be answered by H. Hunter Handsfield, M.D. or Edward W Hook, MD.

Can an incidence of NGU trigger a fungal skin infection of just the right foot?

by keithy 1, Dec 11, 2004 12:00AM
I know it seems a bizzare question, but to explain:
I was infected with NGU at the beginning of the year and after initial treatment with doxycycline had a repeat episode within a week or two without engaging in further sex during that period. Further antibiotics appeared to have worked, but some symptons like a tiny amount of mucus at the tip of the penis on waking and occasional cloudy urine persisited for several months until all symptoms finally stopped. The Doctor at the GUM clinic said there was no infection present any more although I did have a high white blood cell count. At around the same time I developed a fungal skin condition around the inside heel of my right foot which is in the form of very small hard red bumps clustered together in patches.I have treated it with Daktarin cream but it reappears after just a week or two.  Now I wouldn't have made a connection between the two conditions, but a friend of mine suggested they had a read about a specific condition like this in a sexual health pamphlet that can be easliy treated with the correct antibiotic.  So my question is does such an infection exist and if so what is the medication required to cure it? Sorry to be so long winded, just wanted to ensure sufficient history for your diagnosis. Thanks ever so much.

by H. Hunter Handsfield, M.D., Dec 11, 2004 12:00AM
Most likely the conditions aren't related.  However, if you're having any trouble with joint pain or with inflammation of the eyes (conjunctivitis), it would raise the possibility of Reiter's syndrome.  Reiter's can follow NGU or chlamydia and causes various combinations of arthritis, conjunctivitis, and a fungus-like rash that often appears on the feet (especially the sole).  But if you're not having those other symptoms, the rash probably isn't connected with your past NGU.

For further reassurance, you might recheck with the GUM clinic or your GP, or perhaps ask either of them to refer you to a dermatolotist.  (Your use of "GUM" for genitourinary medicine clinic suggests you are in UK, yes?  Most GUM specialists in UK are familiar with Reiter's syndrome and what the rash looks like.)

Good luck--  HHH, MD
Member Comments (2)

by marriedlove, Dec 11, 2004 12:00AM
The CDCs material on syphilis might be the sort of thing your friend was thinking of.  Here it is . . .

http://www.cdc.gov/std/Syphilis/STDFact-Syphilis.htm

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