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bacterial infection on penis

In Dec’13 had unprotected oral + protected intercourse.
Symptoms:
Dec last week: shooting mild pain in shaft, sensation, redness of meatus only, foreskin inflammation. No wound or cut. Redness meatus, foreskin irritation, foreskin little inflammation and rare mild pain still exists.
Feb middle : Itch in anus too sometimes.
Apr 3rd week : Felling tired, dizziness, weakness sometimes, feel like sleeping in mind. But, not physically tired.
Test result:
End of Dec’2013 : All STD’S negative, except chlamydia – greyzone only.
Jan 2nd week: All STD’s negative, except candida albicans only on penis.
March 2nd week: All STD’S negative, except Bacteria found on penis culture. i.e. Cogulase-negative staphylococcus, klebsiella pneumonaie, Enterococcus faecalis.
April 2nd week: Again bacteria found on penis culture. This time it was: Escherichia coli, Enterococcus Faecalis.
Medications
Fortunately, when I had encounter I was on azithromycin for my sinus problem since last 5-6 days (1gm a day). I don’t know whether it protected me form transmitting any disease from that girl or not. Below prescriptions I followed from doctor, as meatus not turning pink and pain, irritation still exists, sometimes itching in anus too.
Dec’2013.: from 31st Dec- to Jan 6th – majorly on Augmentin (2g per day)
Jan 7th : had single dose – azithromycin + IV Ceftriaxone.
Jan 2nd week : 14 days course for candida -  itraconazole ( two tabs/dose, twice a day) + cream azole for penis.
Jan last week: doctor gave cream mycoster (2 months) + doxycycline (14days, twice a day) + parasitic medicines i.e. ivermectin (2 doses in 14 days, 2tabs/dose)  + zentel –albendazole (14days, two times every day , two tabs/dose) + poviodine solution (two times)
March 20th to March 31st : 10 days course: Ospamox (500mg , 2 caps/dose , 2 times every day) + ciprofloxacin ( 500 mg , 1 cap/dose, two times a day) + Fucidin application for 7 days on penis.
Conclusion:
Please give best advice.
8 Responses
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563773 tn?1374246539
MEDICAL PROFESSIONAL
Hello,

Thanks for posting your query.

I can understand your concern for the lab results when you have already taken so many antibiotics.

The symptoms that you are having typically dizziness and mental tiredness seem to be unrelated to the penis symptoms.

Now, considering your symptoms concerning the penis and anus and the presence of E coli and Enterobacter faecalis in the penis sample, it looks correlated. For this one thing to understand is that Enterobacter is a commensal bacterium inhabiting the gastrointestinal tracts of humans and other mammals. Commensalism is a relationship between two organisms where one organism benefits without affecting the other. Similarly E coli is commonly found in the lower intestine of humans. Both these are normal inhabitants of gut flora. But sometimes they can invade the urinary tract and then they may cause a problem. Invasion usually occurs by wiping the anal tract from backwards to front (mostly in females) and having anal intercourse with an infected partner. Men who are uncircumcised are more at risk to become infected because the bacteria can build up much more easily in the folds of the extra skin on the penis.

In the urogenital tract these organisms are responsible for causing UTI (urinary tract infection ) and urethritis. Men may be asymptomatic if they have urethritis and occasionally they may have urethral discharge, urethral pruritus, dysuria or penile discomfort. For UTI, symptoms may include a frequent urge to urinate and a painful, burning feeling in the vicinity of the bladder or urethra during urination. It is not unusual to generally feel tired, shaky, washed out at other times when not urinating. One thing which is also noticeable is that you had an initial bout of Chlamydia and Chlamydia is an important cause of non gonococcal urethritis.

You should follow your doctor’s advice as antibiotics should not be taken unnecessary without confirmation of diagnosis. Get a urine examination as well as urine culture test done to rule out any UTI or urethritis. Also get repeat tests done to check for any persistent Chlamydia infection or for recurrent Chlmydia infection as it may be presenting silently without any symptoms. Lastly get your vitamin D levels, a complete hemogram and your thyroid profile test done for dizziness and mental tiredness and fatigue.

E. faecalis is resistant to many commonly used antimicrobial agents but it may respond to Vancomycin. Treatment options for vancomycin-resistant E. faecalis include ampicillin, linezolid and daptomycin. These drugs should be started only under medical supervision.

So get these tests done and then follow up with your doctor for the right course of treatment. Antibiotics can be started only if the urine tests come positive.

Lastly kissing, hugging, touching etc is not going to transmit the bacteria but unprotected anal/ vaginal intercourse can.

Hope that this information helps and hope that you get better soon.

Wishing you good health.




Helpful - 0
Avatar universal
Doctor,

I would like to share with you more details. It started all back in Dec’2013. When I had unprotected oral encounter only with some girl. Also had protected intercourse with same after few days in middle of dec’2013. I will be precise in details as below-
Symptoms:
Dec last week: shooting mild pain in shaft, sensation, redness of meatus only, foreskin inflammation. No wound or cut. Redness meatus, foreskin irritation, foreskin little inflammation and rare mild pain still exists.
Feb middle: irritation along with the eyes (left eye more), mild pain near eyebrows (left more). Only On the corner of eye. Showed ophthalmologist, he said eyes are totally ok. But still, when I see in the mirror its nothing, but I just feel that there is something wrong going inside the skin eyes near corner and eyebrows because physically I feel it’s something irritated. Using artificial tears only now. Itch in anus too sometimes.
Apr 3rd week : Felling tired, dizziness, weakness sometimes, feel like sleeping in mind. But, not physically tired
Test result:
End of Dec’2013 : All STD’S negative, except chlamydia – greyzone only.
Jan 2nd week: All STD’s negative, except candida albicans only on penis.
March 2nd week: All STD’S negative, except Bacteria found on penis culture. i.e. Cogulase-negative staphylococcus, klebsiella pneumonaie, Enterococcus faecalis.
April 2nd week: Again bacteria found on penis culture. This time it was: Escherichia coli, Enterococcus Faecalis.
Medications
Fortunately, when I had encounter I was on azithromycin for my sinus problem since last 5-6 days (1gm a day). I don’t know whether it protected me form transmitting any disease from that girl or not. Below prescriptions I followed from doctor, as meatus not turning pink and pain, irritation still exists, sometimes itching in anus too.
Dec’2013.: from 31st Dec- to Jan 6th – majorly on Augmentin (2g per day)
Jan 7th : had single dose – azithromycin + IV Ceftriaxone.
Jan 2nd week : 14 days course for candida -  itraconazole ( two tabs/dose, twice a day) + cream azole for penis.
Jan last week: doctor gave cream mycoster (2 months) + doxycycline (14days, twice a day) + parasitic medicines i.e. ivermectin (2 doses in 14 days, 2tabs/dose)  + zentel –albendazole (14days, two times every day , two tabs/dose) + poviodine solution (two times)
March 20th to March 31st : 10 days course: Ospamox (500mg , 2 caps/dose , 2 times every day) + ciprofloxacin ( 500 mg , 1 cap/dose, two times a day) + Fucidin application for 7 days on penis.

Conclusion :
Please help me doc, as I really don’t know what to do now, latest diagnose is E.Coli, E.facelis only. My routine is mostly I eat food outside only. And rest I live alone. Recent I changed the doctor, he told me to wait and do not take any antibiotics more. Is it OK to go with advice of recent advice of doc ?. Or shall I start medication again.? Latest symptoms are only irritation in eyes, sometimes in penis ( very mild), also dizziness in mind, and tiredness in mind. Can’t focus sometimes etc.
Please give me best advice. Also, let me know if these bacteria can be pass on to my girlfriend if we have oral protected sex only (kissing, hugging, touching etc.)
Helpful - 0
Avatar universal
Many thanks for your reply doctor.

But still I have some unanswered questions as below.
1. How these bacteria become reactive on my penis. ? Is it due to My sexual encounter ? But as I don't touched or hand anus ever of the girl. Never had anal intercourse too. Also I am uncircumcised.
2. Do you think, antibiotics responsible for making these bacteria live on my penis. As there was no diagnose for any STD, as all were negative till now.
3. As you told above that check for chlamydia, I recently tested for All Std already. All are negative. I.e. Herpes,hiv, chlamydia,gonnorhea, hepatitis a,b,c. CBC count., syphilis approximately after 4 months , all are negative and good.
4. Can you suggest any suitable probiotic supplement as per my situation easily available in Indian market
5. Recently last week only  2 times, I tested urine, swab urethra, swab genital, anal swab. First time, urine culture - streptococcus group D 10/4 cfu/ml , in urethra swab - E.coli  +++ . Second times after 4 days . In urine culture =negative , anal swab = negative , urethra swab = negative , gential penis rub swab = e.coli , e.facelis only.
6. Right now only symptoms are sensation on penis, little redness on meautus, tingling on shaft, crawling etc. In past only these were the symptoms.that's it.no more symptoms. And little dizziness, sleeping feeling during day time only.at night its ok. And little irritation near corner of eyes.But ophthalmologist said eyes are ok, but still have irritated skin around corner of eyes only. Left eye more.

Please answer my above question doctor. Many thanks
Helpful - 0
Avatar universal
Doctor,
Kindly reply my question above.please

Jim
Helpful - 0
Avatar universal
Hello Doc,

I am still awaiting for my my answer.

Kindly help me asap.

Jim

Helpful - 0
563773 tn?1374246539
MEDICAL PROFESSIONAL
Hello,
Thanks for writing back to me.

Anal sex is not the only means of transmission of these bacteria. A weakened immune system, poor hygiene, stretching the bladder and weakening its muscles by not going when the urge to urinate presents itself or catheter use may cause these infections as well.

Antibiotics use do not cause bacterial infections to grow but incessant use may cause development of fungal infections. You can use any probiotic available in the market. Bifilac or Binifit Capsules or Econova capsules, any can be used. However daily consumption of curd or yoghurt reduces the usage of these probiotics.

The eye symptoms seem unrelated to the genital symptoms. Usually the burning or the tingling you feel at the tip of penis can be due to an allergic reaction (say to body lotions, condoms, soaps etc) or it can be a skin condition like eczema, dermatitis etc or it can be a fungal infection. Other than that it can be a simple bacterial infection or balanitis.

I sincerely hope that helps. Take care and regards.








Helpful - 0
Avatar universal
Hi doctor
Thanks for your reply so much. My other symptoms at the moment are extreme fatigue in mind during morning until i go bed and mild rare pain in glans penis and irritated meatus a lot after ejaculation. when I lie on bed fatigue is ok. Fatigue is from back neck till head. I feel like unconcentrated during my worktime and exhausted from brain. as I had exposure for unprotected oral sex only in dec2013.is it possible that still there can be hidden std in my body which is causing fatigue. All stds negative in 5th month. Last time in june only, urine culture turned positive for E.coli > 100.000 cfu/ml. Also I took pro biotic for 1 week in may2014. But took no antibiotic till now.
Please advise asap.Thanks
Helpful - 0
Avatar universal
Can you please reply for my query asap.

Thanks for your support
Helpful - 0

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