Moriguchi H, Goto K, Hara Y, Kobayashi Y, Tozuka K, Tokue A
Department of Urology, Sano Kosei General Hospital.
Hinyokika Kiyo. 1990 May;36(5):627-9.
A 40-year-old male was admitted complaining of high grade fever, pain, redness and swelling of the right scrotum, right perineum and right flank region. He had no apparent history of previous infection or diabetes mellitus. At the time of admission, the scrotum was partly necrotic with repulsive feculent pus discharge and there was crepitus on palpation of involved areas. Culture of purulent discharge yielded the growth of anaerobic organisms. Surgical drainage was performed immediately and debridement of necrotic tissue in the involved areas was often repeated. At the same time, the patient received antibiotic therapy that included agents effective against anaerobic bacteria. However, the scrotal skin developed gangrene and the right testis hung suspended with cord exposed. This testis was intact. The scrotal skin defect was cured using a skin graft, after the infection had been brought under control.
一名40岁男性因高热、右侧阴囊、右侧会阴及右侧胁腹疼痛、红肿而入院。他既往无明显感染史或糖尿病史。入院时，阴囊部分坏死，有恶臭脓性分泌物排出，受累区域触诊有捻发音。脓性分泌物培养出厌氧菌生长。立即进行了外科引流，并经常重复对受累区域的坏死组织进行清创。同时，患者接受了包括对厌氧菌有效的药物在内的抗生素治疗。然而，阴囊皮肤发生坏疽，右侧睾丸悬吊，精索外露。该睾丸完好无损。在感染得到控制后，通过植皮治愈了阴囊皮肤缺损。
