Penile gangrene in a HIV patient

Introduction: The good vascularization of penis protects this organ from necrosis. Critical reduction of blood supply and aggressive infection of the genitalia are some of the rare conditions which can lead to penile necrosis. HIV infection can provide the two conditions and lead to a rapidly extensive penile gangrene. Observation: A 47-year-old man developed a rapidly extensive penile necrosis despite local and systemic care. He was HIV positive and was not adherent with medical follow-up. Classical risk factors of blood vessels damages such are diabetes, hepatitis or cigarette smoking were absent. Total penectomy was performed. We describe the possibilities of HIV infection-induced penile gangrene. Conclusion: HIV infection should be taken in account among causes of penile necrosis.

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