Ibilibor Christine, Cammack James T
Department of Urology, Texas Tech University Health Sciences Center, Lubbock, TX, USA.
Case Rep Infect Dis. 2018 Jun 5;2018:5263438. doi: 10.1155/2018/5263438. eCollection 2018.
Necrotizing urethritis is a rare malady with only one other case reported in the literature found to be due to an infectious cause. We report a case of necrotizing urethritis caused by and review all relevant literature to date. The patient is a 56-year-old man with a past medical history significant for poorly controlled insulin-dependent type 2 diabetes mellitus and incomplete bladder emptying who presented to the University Medical Center with perineal pain, fever, and urinary retention. Cross-sectional imaging showed emphysematous changes in the bulb of the corpus spongiosum. After admission, his fever and leukocytosis persisted, and his physical exam worsened with intravenous antibiotics alone. Subsequently, the patient underwent cystourethroscopy with incision and debridement of the corpus spongiosum. Postoperatively, he improved clinically and his spongiosum wound and urine grew . To our knowledge, we report the first case of necrotizing urethritis caused by .
坏死性尿道炎是一种罕见疾病，文献中仅报道过另外一例由感染性病因引起的病例。我们报告一例由[具体病因未给出]引起的坏死性尿道炎病例，并回顾了迄今为止所有相关文献。该患者为一名56岁男性，既往有胰岛素依赖型2型糖尿病控制不佳及膀胱排空不全病史，因会阴部疼痛、发热和尿潴留就诊于大学医学中心。横断面成像显示海绵体球部有气肿改变。入院后，他的发热和白细胞增多持续存在，仅使用静脉抗生素治疗后其体格检查结果恶化。随后，患者接受了膀胱尿道镜检查及海绵体切开清创术。术后，他的临床症状有所改善，海绵体伤口及尿液培养出[具体培养结果未给出]。据我们所知，我们报告了首例由[具体病因未给出]引起的坏死性尿道炎病例。
