Hirshberg S J, Charles R S, Ettinger J B
Department of Surgery, Abington Memorial Hospital, Pennsylvania 19001, USA.
Urology. 1996 May;47(5):745-6. doi: 10.1016/s0090-4295(96)00029-5.
Priapism in the pediatric population is rare and most commonly occurs secondary to sickle cell disease or hematologic malignancy. We present a case of a 12-year-old boy with priapism who required aggressive surgical therapy for adequate detumescence. This patient had a recent viral upper respiratory infection and titers for Mycoplasma pneumoniae were indicative of infection. We propose that a hypercoagulable state was induced by the M. pneumoniae infection, which resulted in the priapism.
A 12-year-old boy with a recent upper respiratory illness presented to his pediatrician with priapism. After failing conservative management, the patient ultimately required a surgical shunt for detumescence. Serum was sent to detect antibodies against M. pneumoniae.
The child failed to respond to corporeal irrigations and bilateral Winter shunts. He underwent an El-Ghorab procedure the following morning, which resulted in a flaccid penis. Serum M. pneumoniae antibodies were detected and indicated moderate infection.
We propose that this 12-year-old boy had priapism secondary to infection with M. pneumoniae. M. pneumoniae infection can produce a hypercoagulable state, especially in selected areas of the circulation. This is the first reported case of priapism associated with M. pneumoniae.
小儿阴茎异常勃起较为罕见，最常见的继发于镰状细胞病或血液系统恶性肿瘤。我们报告一例12岁阴茎异常勃起男孩，其需要积极手术治疗以实现充分消肿。该患者近期有病毒性上呼吸道感染，肺炎支原体滴度提示感染。我们推测肺炎支原体感染诱发了高凝状态，进而导致阴茎异常勃起。
一名近期有上呼吸道疾病的12岁男孩因阴茎异常勃起就诊于儿科医生。保守治疗失败后，患者最终需要手术分流以消肿。送检血清检测抗肺炎支原体抗体。
患儿对阴茎海绵体灌注和双侧温特分流术均无反应。次日上午他接受了埃尔-戈拉布手术，术后阴茎疲软。检测到血清肺炎支原体抗体，提示中度感染。
我们推测这名12岁男孩的阴茎异常勃起继发于肺炎支原体感染。肺炎支原体感染可产生高凝状态，尤其是在特定循环区域。这是首例报道的与肺炎支原体相关的阴茎异常勃起病例。
