| Streptococcal cellulitis of the scrotum and penis with secondary skin gangrene. | |
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MedLine Citation:
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PMID: 1098183 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Cellulitis of the scrotum and penis is caused, in the majority of instances, by a beta hemolytic streptococci without a discernible portal of entry. Clostridium, occasionally, will result in this disease as a manifestation of a perirectal abscess. In either instance, fluid accumulates rapidly in the closed space between Colles' and Buck's fascia, producing intense swelling of the scrotum. If this compartment is not immediately decompressed by linear incisions, devascularization of the scrotal and penile skin will often occur, resulting in gangrene. Immediate treatment of the bacterial infection with penicillin also is essential. If gangrene does develop, radical debridement of the necrotic tissue as well as a wide margin of adjacent inflamed skin must be undertaken. Continual monitoring of the microflora of the debrided would is essential for the selection of the appropriate antibiotic against any secondary intruders. Coverage of the granulating would is accomplished when the would bacterial count is below 10-5 per gram of tissue. |
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Authors:
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B Haury; G Rodeheaver; T Stevenson; C Bacchetta; M T Edgerton; R F Edlich |
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Publication Detail:
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Type: Journal Article; Research Support, U.S. Gov't, Non-P.H.S. |
Journal Detail:
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Title: Surgery, gynecology & obstetrics Volume: 141 ISSN: 0039-6087 ISO Abbreviation: Surg Gynecol Obstet Publication Date: 1975 Jul |
Date Detail:
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Created Date: 1975-11-08 Completed Date: 1975-11-08 Revised Date: 2009-11-11 |
Medline Journal Info:
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Nlm Unique ID: 0101370 Medline TA: Surg Gynecol Obstet Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 35-9 Citation Subset: AIM; IM |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Amphotericin B
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therapeutic use Anti-Bacterial Agents / therapeutic use Antistreptolysin / isolation & purification Candida albicans / isolation & purification, pathogenicity Candidiasis / drug therapy Cellulitis / etiology* Debridement Gangrene / etiology* Genital Diseases, Male / etiology Humans Immunity Male Middle Aged Penile Diseases / etiology* Scrotum* Skin Diseases / etiology* Skin Transplantation Streptococcal Infections / complications*, drug therapy Transplantation, Autologous |
| Chemical | |
Reg. No./Substance:
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0/Anti-Bacterial Agents; 1397-89-3/Amphotericin B; 9006-92-2/Antistreptolysin |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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