Norimatsu Yuta, Ohno Yuki
Department of Dermatology, JR Tokyo General Hospital, Japan.
Department of Dermatology, University of Tokyo Graduate School of Medicine, Tokyo, Japan.
IDCases. 2020 May 20;21:e00832. doi: 10.1016/j.idcr.2020.e00832. eCollection 2020.
The main causative organism of balanoposthitis in sexually active adolescents is reportedly the group B hemolytic streptococcus. While cases of balanoposthitis caused by group A streptococcal infection in children have been reported, their occurrence in the adolescent age group is relatively rare. We describe a case of balanoposthitis caused by (group A streptococcus) in a 31-year-old man who presented to the hospital with complaints of pain and swelling in his penile foreskin for the past 6 days. The patient was treated successfully by performing a ventral incision on the foreskin and administering effective antimicrobial therapy involving amoxicillin 750 mg/day. Group A beta-hemolytic should also be considered a causative organism in the differential diagnosis, while managing a patient with balanoposthitis.
据报道，性活跃青少年阴茎头炎的主要致病微生物是B组溶血性链球菌。虽然已有儿童感染A组链球菌导致阴茎头炎的病例报道，但在青少年年龄组中相对少见。我们描述了一例31岁男性因A组链球菌导致阴茎头炎的病例，该患者因过去6天阴茎包皮疼痛和肿胀前来就诊。通过在包皮上做腹侧切口并给予阿莫西林750毫克/天的有效抗菌治疗，患者得到了成功治疗。在处理阴茎头炎患者时，A组β溶血性链球菌也应被视为鉴别诊断中的致病微生物。
