Penile ecthyma gangrenosum

Cutaneous complications of intravenous drug abuse

“…3,4,53,56 Cutaneous necrosis also results from arterial thrombosis after direct intra-arterial injection such as scrotal skin necrosis after pudendal artery injection. 41 False aneurysm and mycotic aneurysms. False aneurysm and mycotic aneurysm are rare but serious complications.…”

“…Direct pudendal artery injections cause penile and scrotal necrotizing ulcers. 41,77,78 Abscesses, false and mycotic femoral aneurysms and iliofemoral venous thrombosis complicate groin injections. 21,60,69…”

“…Recent severe cutaneous infections, myonecrosis and sepsis with a high mortality rate have been reported in the U.K. and San Francisco caused by Clostridium novyi , C. perfingens and other Clostridium sp 39,40 . Other local infections include lymphangitis, thrombophlebitis, pyoderma, ecthyma gangrenosum 41 and gas gangrene 42,43 …”

“…Cutaneous necrosis also results from arterial thrombosis after direct intra‐arterial injection such as scrotal skin necrosis after pudendal artery injection 41 …”

Cutaneous Complications of Injection Drug Abuse

“…Cutaneous necrosis and necrotizing ulcers may develop among IDU users due to several factors like employing skin popping technique, pharmacological effects of the drugs like cocaine which can cause vasoconstriction & thrombosis or due to irritant properties of drug & adulterants, vascular thrombosis & infection. [34][35][36][37][38][39] Cutaneous necrosis may also result from direct intra-arterial injection such as of scrotal skin after pudendal artery injection. 40 Fungal infections like Dermatophytosis are common among IDUs.…”