A clinical case of a 33-year-old male attended at the Fundaci贸 Puigvert presented with three ulcerated, painful and suppurating lesions which had appeared six days earlier. In the clinical history, one unprotected intercourse 2 weeks prior to the appearance of symptoms was reported.
The physical exploration revealed a well-circumscribed, oval, non-indurated, ulcerous penile lesions with preputial and skin edema that hampered retraction. The ulcer culture showed abundant staphylococcus strain gram-positive cocci. There were numerous methicillin-resistant Staphylococcus aureus (MRSA) colonies.
MRSA has been a major cause of community-acquired skin and soft tissue infections. Despite the high percentage of colonization by S. aureus, less than 2%of the general population is colonized by methicillin-resistant strains.
This case has demonstrated the possibility that sexual intercourse could be a MRSA transmission route. If such transmission is possible, MRSA infection should be considered a sexually-transmitted disease; however, larger studies are necessary to assess the results.