Toyoshima Hirokazu, Shibahara Takuji, Tanigawa Motoaki, Masuda Naoto, Ishiguro Chiaki, Tanaka Hiroyuki, Nakanishi Yuki, Sakabe Shigetoshi
Department of Infectious Diseases, Japanese Red Cross Ise Hospital, 1-471-2, Funae, Ise, Mie 516-8512, Japan.
Department of Urology, Japanese Red Cross Ise Hospital, 1-471-2, Funae, Ise, Mie 516-8512, Japan.
IDCases. 2021 Oct 27;26:e01320. doi: 10.1016/j.idcr.2021.e01320. eCollection 2021.
Most cases of cavernosal abscesses result from the progression of sexually transmitted diseases (STDs) commonly caused by ; however, cavernosal abscesses without STDs are rare events. Herein, we describe the first case report of a cavernosal abscess. A 63-year-old man with diabetes and a history of foreign object insertion into the urethra one year prior presented with high-grade fever and slight local pain. The patient was diagnosed with . cavernosal abscess based on computed tomography and microbial biochemical examinations in addition to matrix-assisted laser desorption ionization (MALDI) and 16S rRNA sequencing from blood and pus cultures. The patient was successfully treated with a surgical procedure and appropriate antimicrobials. Hence, . , a commensal bacterium of the gastrointestinal or genitourinary tract, can cause cavernosal abscesses. Notably, . is difficult to distinguish from . using MALDI or 16S rRNA sequencing without microbial biochemical examinations owing to morphological similarities. Therefore, special attention should be paid, clinically and microbiologically, to the potential of . cavernosal abscess in clinical settings.
大多数海绵体脓肿由常见的性传播疾病（STD）进展引起；然而，无STD的海绵体脓肿是罕见事件。在此，我们描述首例海绵体脓肿病例报告。一名63岁男性，有糖尿病史，一年前有尿道异物插入史，出现高热和轻微局部疼痛。除了血液和脓液培养的基质辅助激光解吸电离（MALDI）和16S rRNA测序外，基于计算机断层扫描和微生物生化检查，该患者被诊断为海绵体脓肿。患者通过手术和适当的抗菌药物成功治疗。因此，[此处有缺失信息，原文未完整给出相关细菌名称]，一种胃肠道或泌尿生殖道的共生细菌，可引起海绵体脓肿。值得注意的是，由于形态相似，在没有微生物生化检查的情况下，使用MALDI或16S rRNA测序很难将[此处有缺失信息，原文未完整给出相关细菌名称]与[此处有缺失信息，原文未完整给出相关细菌名称]区分开来。因此，在临床和微生物学方面，应特别关注临床环境中[此处有缺失信息，原文未完整给出相关细菌名称]引起海绵体脓肿的可能性。
