Tags

Type your tag names separated by a space and hit enter

[A case of Fournier's gangrene: was it triggered by prostatic massage?].
Hinyokika Kiyo. 1990 Sep; 36(9):1097-100.HK

Abstract

We have experienced a case of Fournier's gangrene which progressed rapidly after prostatic massage. The patient was a 70-year-old man who had poorly controlled diabetes mellitus, hemorrhoid, urethral stricture and benign prostatic hyperplasia. He visited an urologist complaining of pollakisuria and miction pain. Under the diagnosis of prostatitis, prostatic massage was performed. From that night, he developed a high grade fever. Simultaneously, redness, swelling and pain of the scrotum progressed rapidly, and 11 days later, he was admitted to our hospital. An X-ray examination revealed subcutaneous gas formation in the scrotum. Immediately, incision and drainage with extensive debridement of necrotic tissue were performed combined with chemotherapy using broad spectrum antibiotics and insulin therapy. About 3 months later, the gangrene and the wound were healed with granulation and scarring. Cultures of the pus and the necrotic tissue from the scrotum were positive for Bacteroides fragilis and several aerobes including Staphylococcus aureus, Pseudomonas aeruginosa, Klebsiella pneumoniae, Enterococcus and Staphylococcus epidermidis. The case proved to be non-clostridial gas gangrene.

Authors+Show Affiliations

Department of Urology, Kobe National Hospital.No affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
English Abstract
Journal Article

Language

jpn

PubMed ID

2239620

Citation

Sengoku, A, et al. "[A Case of Fournier's Gangrene: Was It Triggered By Prostatic Massage?]." Hinyokika Kiyo. Acta Urologica Japonica, vol. 36, no. 9, 1990, pp. 1097-100.
Sengoku A, Yamashita M, Umezu K. [A case of Fournier's gangrene: was it triggered by prostatic massage?]. Hinyokika Kiyo. 1990;36(9):1097-100.
Sengoku, A., Yamashita, M., & Umezu, K. (1990). [A case of Fournier's gangrene: was it triggered by prostatic massage?]. Hinyokika Kiyo. Acta Urologica Japonica, 36(9), 1097-100.
Sengoku A, Yamashita M, Umezu K. [A Case of Fournier's Gangrene: Was It Triggered By Prostatic Massage?]. Hinyokika Kiyo. 1990;36(9):1097-100. PubMed PMID: 2239620.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [A case of Fournier's gangrene: was it triggered by prostatic massage?]. AU - Sengoku,A, AU - Yamashita,M, AU - Umezu,K, PY - 1990/9/1/pubmed PY - 1990/9/1/medline PY - 1990/9/1/entrez SP - 1097 EP - 100 JF - Hinyokika kiyo. Acta urologica Japonica JO - Hinyokika Kiyo VL - 36 IS - 9 N2 - We have experienced a case of Fournier's gangrene which progressed rapidly after prostatic massage. The patient was a 70-year-old man who had poorly controlled diabetes mellitus, hemorrhoid, urethral stricture and benign prostatic hyperplasia. He visited an urologist complaining of pollakisuria and miction pain. Under the diagnosis of prostatitis, prostatic massage was performed. From that night, he developed a high grade fever. Simultaneously, redness, swelling and pain of the scrotum progressed rapidly, and 11 days later, he was admitted to our hospital. An X-ray examination revealed subcutaneous gas formation in the scrotum. Immediately, incision and drainage with extensive debridement of necrotic tissue were performed combined with chemotherapy using broad spectrum antibiotics and insulin therapy. About 3 months later, the gangrene and the wound were healed with granulation and scarring. Cultures of the pus and the necrotic tissue from the scrotum were positive for Bacteroides fragilis and several aerobes including Staphylococcus aureus, Pseudomonas aeruginosa, Klebsiella pneumoniae, Enterococcus and Staphylococcus epidermidis. The case proved to be non-clostridial gas gangrene. SN - 0018-1994 UR - https://www.unboundmedicine.com/medline/citation/2239620/[A_case_of_Fournier's_gangrene:_was_it_triggered_by_prostatic_massage]_ L2 - https://repository.kulib.kyoto-u.ac.jp/dspace/handle/2433/116983 DB - PRIME DP - Unbound Medicine ER -