Flanigan R C, Kursh E D, McDougal W S, Persky L
J Urol. 1978 Mar;119(3):369-71. doi: 10.1016/s0022-5347(17)57493-5.
We recently encountered 5 patients with synergistic gangrene of the genitalia secondary to colorectal disease. This number of cases suggests that there may be an increasing incidence of this entity that has been reported only several times in the past. Pseudomonas was one of the organisms cultured in all cases. Because of the high mortality rate we advocate aggressive therapy, consisting of early and repeated radical débridement into normal tissues and appropriate management of the colorectal source of contamination. Our experience indicates that the lower gastrointestinal tract should be considered as a possible cause of infection in all cases of synergistic gangrene of the scrotum and penis.
我们最近遇到了5例因结直肠疾病继发的生殖器协同性坏疽患者。这一病例数量表明，这种过去仅被报道过几次的疾病发病率可能在上升。所有病例培养出的微生物中都有假单胞菌。由于死亡率高，我们主张积极治疗，包括早期和反复彻底清创至正常组织，并对结直肠污染源进行适当处理。我们的经验表明，在所有阴囊和阴茎协同性坏疽病例中，都应将下消化道视为可能的感染源。
