Differential Diagnosis for White Cheese Curd Discharge from Penis with Odor
Single Most Likely Diagnosis
- Balanitis: This condition, often caused by a fungal infection (such as candidiasis), can lead to a white, cheesy discharge and is accompanied by inflammation of the glans penis. The presence of odor and the description of the discharge support this diagnosis.
Other Likely Diagnoses
- Urethritis: Infections such as gonorrhea or chlamydia can cause discharge, though it's typically more purulent than cheesy. However, some cases might present with a whitish discharge, especially if there's a mixed infection.
- Smegma accumulation: Smegma is a substance that can accumulate under the foreskin in uncircumcised males. It can have a strong odor and appear white or cheesy, especially if hygiene is poor.
Do Not Miss Diagnoses
- Gonorrhea: Although gonorrhea typically presents with a more purulent discharge, it's crucial not to miss this diagnosis due to its potential for serious complications, including epididymitis and infertility.
- Squamous Cell Carcinoma: Though rare, any unusual or persistent penile discharge, especially with a foul odor, warrants consideration of malignancy to ensure early detection and treatment.
Rare Diagnoses
- Penile candidiasis with complicating factors: While candidiasis is a common cause of balanitis, rare complicating factors such as diabetes mellitus or immunocompromised states can lead to more severe presentations.
- Leukoplakia: A condition characterized by white patches on the mucous membranes, which can sometimes be associated with a cheesy discharge if there's secondary infection. It's a precursor to cancer and thus important to identify.