Human bite injuries, although less frequent than animal
bites, usually stem from aggressive behavior, sports participation, or sexual activity. Human genital
bites and similar traumatic events also occur, but are infrequently reported because of embarrassment. A genital ulceration following mild
trauma during oral-genital contact is reported and appropriate diagnostic and therapeutic interventions reviewed. The
ulcer was infected, as verified by culture, with an aggressive oral flora organism, Eikenella corrodens. The genital ulceration healed following appropriate
antibiotic therapy. Treatment of
human bites focuses on obtaining an accurate history and salient physical examination, as well as performing early irrigation and
debridement. Prophylactic
antibiotic treatment and primary closure of
bite wounds remain areas of controversy. Because there is an inherent high risk of
infection, genital
human bite wounds (and similar traumatic events related to orogenital contact) should be managed with prophylactic
antibiotic administration.