書誌事項
- タイトル別名
-
- A Case of Pyoderma Gangrenosum of the Penis Difficult to Distinguish from Fournier Gangrene
- Fournier エソ ト ノ カンベツ ニ ナンジュウ シタ イン ケイ エソセイ ノウ ヒショウ ノ 1レイ
この論文をさがす
抄録
Here, we report a case of pyoderma gangrenosum of the penis which was difficult to distinguish from Fournier gangrene. The patient was a 54-year-old male who was aware of redness and swelling of the glanspenis for 1month prior to a consultation at our department. Although he was diagnosed with herpes andtreated at a nearby hospital, his symptoms did not improve. Subsequently, the patient visited ourdepartment following the onset of pain and fever. During his initial consultation, he had a fever of 39°C as well as redness and swelling of the glans penis with partial spontaneous purulent discharge. His blood test revealed an elevated white blood cell count (20, 000/μl) and C-reactive protein (19.1 mg/dl). Because Fournier gangrene was suspected, administration of broad-spectrum antimicrobial agents was initiated butproved to be ineffective. An abscess (2 cm in diameter) was also noted in the umbilical region.Enterococcus faecalis was detected by the bacterial culture ; and therefore, Fournier gangrene was diagnosed. A partial penectomy was performed to control the infection. Pathological findings showed only non-specific inflammation ; however, fever persisted postoperatively and blood test results showed no improvement. Furthermore, new abscess lesions emerged on the right heel and back. Because the re-performed abscess bacterial culture test result was negative, pyoderma gangrenosum was suspected, and he was started on oral prednisolone (20 mg/day). On the following day, his fever subsided and his blood test results also showed improvement. A final diagnosis of pyoderma gangrenosum was ultimately made.
収録刊行物
-
- 泌尿器科紀要
-
泌尿器科紀要 61 (11), 459-463, 2015-11-30
泌尿器科紀要刊行会
- Tweet
詳細情報 詳細情報について
-
- CRID
- 1050001335818853632
-
- NII論文ID
- 120005679848
-
- NII書誌ID
- AN00208315
-
- ISSN
- 00181994
-
- HANDLE
- 2433/202894
-
- NDL書誌ID
- 026939153
-
- 本文言語コード
- ja
-
- 資料種別
- departmental bulletin paper
-
- データソース種別
-
- IRDB
- NDL
- CiNii Articles