两种糖尿病患者的充气阴茎假体真菌感染。
Two Fungal Infections of Inflatable Penile Prostheses in Diabetics.
机构信息
Urology University of California San Diego San Diego CA USA.
Urology Southern Illinois University School of Medicine Springfield IL USA.
出版信息
Sex Med. 2015 Oct 7;3(4):339-42. doi: 10.1002/sm2.86. eCollection 2015 Dec.
INTRODUCTION
Penile prosthesis infections have decreased since the introduction of antibiotic-coated implants. Infections that do occur can be from more rare and virulent organisms than the traditional skin flora historically implicated.
AIM
In this report, we present two cases of inflatable penile prosthesis (IPP) infection from C andida organisms in insulin-dependent diabetic patients.
METHODS
Case report with literature review.
MAIN OUTCOME MEASURES
Resolution of the two cases.
RESULTS
Both patients were found to have insulin-dependent diabetes. Both patients also presented with infection of the device with Candida species, with the implant pump adherent to their scrotal skin.
CONCLUSIONS
This report supports the emerging literature that the flora of IPP infections is changing. We suggest considering adding antifungal agents to antibiotic coatings, dips, or washout solutions at the time of penile prosthesis surgery in diabetic patients. Cotta BH, Butcher M, Welliver C, McVary K, and Köhler T. Two fungal infections of inflatable penile prostheses in diabetics. Sex Med 2015;3:339-342.
引言
自抗生素涂层植入物问世以来，阴茎假体感染有所减少。但已发生的感染可能来自于比传统皮肤菌群更为罕见和毒力更强的病原体。
目的
本报告介绍了两例因 C 型念珠菌引起的糖尿病患者可膨胀性阴茎假体（IPP）感染病例。
方法
病例报告并文献复习。
主要观察指标
两例患者的治疗转归。
结果
两名患者均患有胰岛素依赖型糖尿病。两名患者的设备均感染念珠菌，假体泵与他们的阴囊皮肤粘连。
结论
本报告支持了新兴文献观点，即 IPP 感染的菌群正在发生变化。我们建议在糖尿病患者行阴茎假体手术时，考虑在抗生素涂层、浸液或冲洗液中添加抗真菌药物。Cotta BH、Butcher M、Welliver C、McVary K 和 Köhler T. 糖尿病患者可膨胀性阴茎假体的两种真菌感染。性医学 2015;3:339-342.
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