Ensley Daniel, Evans Grant H
Brooke Army Medical Center, 3551 Roger Brooke Dr, Ft Sam Houston, TX, 78234, USA.
Urol Case Rep. 2020 May 3;32:101235. doi: 10.1016/j.eucr.2020.101235. eCollection 2020 Sep.
A 71 year old male presented to the emergency room for evaluation of acute erythema, edema and pain of the penis and scrotum. There was initial concern for Fournier's gangrene, however labs were unremarkable and vital signs were stable. He did not improve with antibiotics. Biopsy results showed neutrophil infiltration consistent with Sweet's Syndrome. He was started on corticosteroids and discharged home in stable condition. In a hemodynamically stable patient not responding to antibiotic therapy, close observation is prudent until the tissue biopsy results.
一名71岁男性因阴茎和阴囊急性红斑、水肿及疼痛前往急诊室就诊。最初怀疑是福尼尔坏疽，但实验室检查无异常，生命体征稳定。使用抗生素治疗后病情未改善。活检结果显示中性粒细胞浸润，符合Sweet综合征。开始使用皮质类固醇治疗，出院时病情稳定。对于血流动力学稳定且对抗生素治疗无反应的患者，在组织活检结果出来之前，谨慎密切观察是明智的。
