A male may develop a Candidal infection of the penis.
Balanitis = inflammation of the glans penis
Balanoposthosis = inflammation of the glans penis and prepuce
Risk factors:
(1) sexual intercourse with a woman with Candidal vulvovaginitis
(2) diabetes mellitus
(3) immunosuppression
Clinical findings:
(1) The glans penis is pruritic.
(2) The skin may appear taut and glossy.
(3) Multiple small pustules may be present.
(4) Painful erosions may be present.
Laboratory findings:
(1) Scrapings show yeast forms with pseudohyphae.
(2) Positive fungal culture for a Candida species.
The patient should respond to appropriate topical or oral antifungal therapy. Failure to respond may indicate antifungal resistance, reinfection, noncompliance or the presence of another disorder.
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