Cohen Philip R
Dermatology, University of California, Davis Medical Center, Sacramento, USA.
Cureus. 2021 Dec 28;13(12):e20780. doi: 10.7759/cureus.20780. eCollection 2021 Dec.
Molluscum contagiosum and scabies are contagious conditions that can be acquired by incidental casual contact of a disease-free individual with an infected person. However, both the viral infection and the mite infestation can be transmitted sexually from the infected person to the unsuspecting recipient partner. A 20-year-old man without any infectious diseases acquired not only molluscum contagiosum but also scabies after a single sexual encounter with a female partner; hence, he developed two sexually transmitted diseases after one sexual episode: two for one. He presented for medical attention to evaluate the new white umbilicated papules on his penile shaft and red nodules on the corona and glans of his penis. A complete skin examination also revealed additional papules on his abdomen and suprapubic region and a burrow on his left index finger adjacent to the finger web. Diagnosis of the molluscum contagiosum infection was confirmed by observing molluscum bodies on the molluscum preparation taken from an abdominal papule and the scabies infestation was confirmed by noting not only mite eggs but also mite scybala (feces) on the scabies (mineral oil) preparation from the burrow. The molluscum contagiosum infection was treated with curettage of the lesions. The scabies infestation was treated with two treatments (each one week apart) of permethrin five percent cream overnight topical application from his neck to his toes. All his lesions resolved and did not recur. In conclusion, the development of a new sexually transmitted disease in an individual should prompt the clinician to evaluate the patient for additional sexually transmitted diseases since the patient may have acquired more than one infection from their partner during the sexual encounter.
传染性软疣和疥疮是传染性疾病，无病个体可通过与感染者偶然的日常接触而感染。然而，病毒感染和螨虫感染都可通过性行为从感染者传播给毫无防备的性伴侣。一名20岁无任何传染病的男子在与一名女性伴侣发生一次性行为后，不仅感染了传染性软疣，还感染了疥疮；因此，他在一次性行为后患上了两种性传播疾病：一举两得。他前来就医，以评估阴茎干上新出现的白色脐状丘疹以及阴茎冠状沟和龟头处的红色结节。全面的皮肤检查还发现他的腹部和耻骨上区域有更多丘疹，左手食指靠近指蹼处有一条隧道。通过观察从腹部丘疹采集的传染性软疣标本上的软疣小体，确诊了传染性软疣感染；通过观察从隧道采集的疥疮（矿物油）标本上的螨虫卵和螨虫粪便，确诊了疥疮感染。传染性软疣感染采用刮除病变的方法进行治疗。疥疮感染采用5%氯菊酯乳膏进行两次治疗（每次间隔一周），每晚从颈部到脚趾进行局部涂抹。他所有的病变都已消退且未复发。总之，个体新发性传播疾病的出现应促使临床医生对患者进行其他性传播疾病的评估，因为患者在性行为中可能从其伴侣那里感染了不止一种疾病。
