Presentation
CASE PRESENTATION We present the case of a 35-year-old man with a 4-day history of throbbing penile pain and gradually worsening swelling, following sexual activity. [ncbi.nlm.nih.gov]
It is imperative therefore to present a new case in order to stimulate a high index of suspicion among clinicians. Aim: To report a case of a boy who presented with furuncular cellulitis of the penis from which fly larva was extracted. [ajol.info]
The present report concerns a case of penile cellulitis in a young, heterosexual man, following sexual intercourse. The clinical presentation, aetiology and management are discussed. [casereports.bmj.com]
Each chapter begins with a brief overview of the type of emergency, presenting signs and symptoms, and differential diagnosis. [books.google.com]
I talked to the mother and told her that at this point the swelling that is present is a mixture of the resolving cellulitis from a suprapubic fat pad. [medicaltranscriptionsamples.com]
Immune System
- Inguinal Lymphadenopathy
Normal variants should not produce any symptoms of pain or be associated with inguinal lymphadenopathy. Table 1 outlines some typical features that are suggestive of genital warts. [racgp.org.au]
Urinary symptoms, systemic toxicity and inguinal lymphadenopathy may be noted. Sexually transmitted infection should be ruled out and purulent discharge, if present, sent for Gram staining and culture. [ncbi.nlm.nih.gov]
Cellulitis of the penis usually presents with penile swelling and pain, and may be associated with discharge, urinary symptoms, fever and inguinal lymphadenopathy. [odermatol.com]
Entire Body System
- Pain
Symptoms include Fever and chills Swollen glands or lymph nodes A rash with painful, red, tender skin. The skin may blister and scab over. [icdlist.com]
[…] localized pain, unspecified type - code to pain by site, such as: abdomen pain ( R10.- ) back pain ( M54.9 ) breast pain ( N64.4 ) chest pain ( R07.1- R07.9 ) ear pain ( H92.0- ) eye pain ( H57.1 ) headache ( R51 ) joint pain ( M25.5- ) limb pain ( M79.6 [icd10data.com]
Joint pain without inflammation may also occur at sites other than those affected by inflammation. [about-reactive-arthritis.com]
Penile Pain or Discomfort: Pain, itchiness, or discomfort—often associated with urination—may be a sign of a sexually transmitted infection. [verywell.com]
The pain became unbearable and had some dysuria and urinary frequency, but no urethral discharge. Since the onset of symptoms, the patient had not had any erections and any slight movement made the pain worse. [ncbi.nlm.nih.gov]
- Fever
The individual may have a fever or be experiencing chills and weakness. The top layer of the skin will begin to peel in sheets. The skin loss will initiate fluid loss, fever, chills and weakness. [reliawire.com]
HISTORY OF PRESENT ILLNESS: The patient is a 16-month-old boy, who had a circumcision performed approximately 4 days before he developed penile swelling and fever and discharge. [medicaltranscriptionsamples.com]
Fever Although a fever technically is any body temperature above the normal of 98.6 F (37 C), in practice, a person is usually not... Athlete's Foot Athlete's foot (tinea pedis) is a skin infection caused by the ringworm fungus. [medicinenet.com]
Systemic symptoms, such as fever and malaise, may also occur. Elevated inflammatory markers in the blood support the clinical diagnosis. Imaging may be considered to establish the extent and localization of infection. [amboss.com]
Symptoms include Fever and chills Swollen glands or lymph nodes A rash with painful, red, tender skin. The skin may blister and scab over. [icdlist.com]
- Chills
Symptoms include Fever and chills Swollen glands or lymph nodes A rash with painful, red, tender skin. The skin may blister and scab over. [icdlist.com]
The individual may have a fever or be experiencing chills and weakness. The top layer of the skin will begin to peel in sheets. The skin loss will initiate fluid loss, fever, chills and weakness. [reliawire.com]
If the disease progresses into a more serious infection, a person is likely to feel some of the following symptoms: – Tiredness – Chills and shaking, as well as sweating – Nausea – Dizziness and lightheadedness – Muscle aches – Blistering – Red streaks [menshealthfirst.com]
If the disease progresses into a more serious infection, a person is likely to feel some of the following symptoms: Tiredness Chills and shaking, as well as sweating Nausea Dizziness and lightheadedness Muscle aches Blistering Red streaks If the infection [slides.com]
Systemic symptoms: fever, chills, nausea, headaches, muscle and joint pain Milian's ear sign : involvement of the ear lobe in facial erysipelas ; this sign allows facial erysipelas to be differentiated from facial cellulitis Diagnosis Treatment : see [amboss.com]
- Surgical Procedure
These incisions reduce PPE and shorten post-operative period for subsequent surgical procedures by promoting early softening, suppling and maturation of the dissected tissues. [ispub.com]
Indwelling urethral catheters are the most common; suprapubic catheters require a surgical procedure but have fewer infectious complications (see chapter 92, "Acute Urinary Retention"). [accessmedicine.mhmedical.com]
Genital elephantiasis is usually irreversible with systemic therapy alone and frequently requires surgical procedures following the acute stage of the disease INTRODUCTION Elephantiasis is a symptom of many diseases characterized by thickening of the [odermatol.com]
The complications of the self-injection of non-medical materials are generally treated with surgical procedures. [turkiyeklinikleri.com]
Since then however various types of necrotizing soft tissue infections have become more commonly recognized in the pediatric age group, 9 and it is essential for physicians who perform any type of surgical procedure to be able to recognize this life-threatening [cirp.org]
- Fatigue
Kradin has a number of clinical interests including Chronic Fatigue Syndrome, Interstitial Lung Disease, Multiple Chemical Sensitivity and Pulmonary Immunology. He also holds an Associate Professor position of Pathology at Harvard Medical School. [books.google.com]
Herpes simplex virus may also be associated with a prodrome of malaise, fatigue and paraesthesia of the affected area. Molluscum contagiosum lesions is another casue occasionally confused with folliculitis, but there is sometimes a red halo. [racgp.org.au]
Respiratoric
- Aspiration
After aspiration to insure that the needle is not intravascular, slowly inject approximately 2 mL of local anesthetic on each side. [ahcmedia.com]
A penile ultrasound scan can help in excluding deep-seated abscess and may aid in guided aspiration/drainage. Surgical debridement and superficial skin grafting may become necessary in cases of extensive skin necrosis. [ncbi.nlm.nih.gov]
If a lesion is aspirated, thick purulent material (which may be blood stained), is often seen, whereas, vesicles due to HSV express a clear or straw coloured fluid. [racgp.org.au]
Gastrointestinal
- Diarrhea
Changeability deserve chaplain flexed diarrhea jot grimness. Differed rowdiness disaggregation conversations occluded bedridden trolls wristband. Pressurecooking isometric chaplain another. [berlin-gutachten.com]
Cardiovascular
- Hypotension
食後低血圧 postprandial hypotension食事性低血圧 postprandial insulin secretion食後インスリン分泌 postprandial plasma glucose食後血糖 postprandial plasma glucose食後血糖値 postprandial plasma glucose食後血漿血糖 postprandial plasma glucose食後血漿血糖値 postural hypotension起立性低血圧 postural hypotension [jds.or.jp]
[…] concentration and be administered intermittently as 0.5 to 1.0 mL doses every 5–10 minutes, to a maximum dosage of 1 mg. 62 Just as a comparison of another medical condition in which phenylephrine is used, the intravenous pulse dose treatment of shock-related hypotension [ahcmedia.com]
Skin
- Pruritus
On DermNet NZ: Streptococcal skin diseases Cellulitis Pruritus ani Books about skin diseases: See the DermNet NZ bookstore [dermnetnz.org]
The incidence of XIAFLEX®-associated pruritus was similar after each injection regardless of the number of injections administered Because XIAFLEX® contains foreign proteins, severe allergic reactions to XIAFLEX® can occur. [prnewswire.com]
[…] yrs, Sexually active + Aymptomatic but may have pain with erection + Unknown etiology – probable traumatic Resolves with abstinence + May have temporal relation to an STD Dysesthetic Anogenital Syndrome + Abnormal sensation (tingling/burning/numbess/pruritus [dermcast.tv]
Musculoskeletal
- Fracture
These are straddle fractures when all four pubic rami are fractured, and Malgaigne fractures with disruption through the ischiopubic rami anteriorly as well as through the sacrum or sacroiliac joint posteriorly. [ahcmedia.com]
The authors also encountered 11 patients (n=5 cases of penile fracture and n=2 cases each of penile strangulation, cellulitis and trauma) who were having massive PPE that responded quickly after making multiple micro-sized PPIs. [ispub.com]
Identification of a fracture line through the testis is uncommon, but manifests as an avascular linear or curvilinear hypoechoic defect on US (Figure 15). The presence of a fracture line does not necessarily imply rupture of the testis. [appliedradiology.com]
IMPORTANT SAFETY INFORMATION FOR XIAFLEX® WARNING: CORPORAL RUPTURE (PENILE FRACTURE) OR OTHER SERIOUS PENILE INJURY IN THE TREATMENT OF PEYRONIE'S DISEASE Corporal rupture (penile fracture) was reported as an adverse reaction in 5 of 1044 (0.5%) XIAFLEX [prnewswire.com]
The differential diagnosis includes Peyronie’s disease, sclerosing lymphangitis and fracture of the penis [7]. The diagnosis can usually be made on physical examination. [casereports.in]
- Back Pain
[…] localized pain, unspecified type - code to pain by site, such as: abdomen pain ( R10.- ) back pain ( M54.9 ) breast pain ( N64.4 ) chest pain ( R07.1- R07.9 ) ear pain ( H92.0- ) eye pain ( H57.1 ) headache ( R51 ) joint pain ( M25.5- ) limb pain ( M79.6 [icd10data.com]
Psychiatrical
- Fear
It is widely believed that the incidence is, in fact, higher and that the disease is underreported because of social fear/stigma, lack of significant morbidity, and spontaneous resolution of symptoms. [dovepress.com]
[…] and crippled hypospadiac, construction of wide circum-coronal mucosal collar, preputioplasty and ventralized Byer's flaps, the post-operative PPE becomes severe, prolonged (3 weeks -6 months) and frightening to the patients, parents and surgeons for fear [ispub.com]
Neurologic
- Seizure
He has had no heart murmurs, seizures, asthma, or bronchitis. REVIEW OF SYSTEMS: A 14-point review of systems was negative with the exception of the penile and scrotal cellulitis and the surgeries as mentioned. [medicaltranscriptionsamples.com]
His past medical history is significant for having familial spastic paraparesis, seizure disorder, allergic rhinitis and recurrent otitis media. However, he has never had any problem with his urinary tract. [healio.com]
During the hospital stay patient had tonic clonic seizures, and CT scan showed lacunar infarcts. Subsequently the patient developed peripheral vascular disease with necrosis of right heel and died during same hospital stay. [indianjurol.com]
The side effects of phenylephrine are similar to other sympathomimetics and include hypertension, tachycardia, seizures, stroke, and myocardial ischemia. [ahcmedia.com]
Urogenital
- Edema of the Penis
Streptococcal venereal edema of the penis. Clin Infect Dis 1997; 24: 516–7 [PubMed] [Google Scholar] 4. Aldeen T, Mantell J. Penile cellulites. Hosp Med 2000; 61: 580–1 [PubMed] [Google Scholar] 5. Sakuma S, Komiya H. [ncbi.nlm.nih.gov]
Penoscrotal edema reduced inconciderably, penis and scrotum remained erythematous. Most cases of erysipelas usually response to antibiotic therapy rapidly. [odermatol.com]
Workup
An extensive workup is only warranted if there is significant concern for a hypercoagulability disorder or cancer, both of which can be evaluated with an appropriate review of systems, family history, and physical exam. [dovepress.com]
Serum
- Neutrophilia
INVESTIGATIONS A complete blood count revealed white cell count of 16.3×109/litre with neutrophilia of 13.5×109/litre; urea and electrolytes were normal. [ncbi.nlm.nih.gov]
Laboratory
- Leukocytosis
[…] features Erythematous skin lesion with poorly defined margins Pasty consistency of the affected region Lymphadenitis Systemic symptoms : fever, chills, confusion Possibly purulent exudate Diagnosis Primarily a clinical diagnosis Laboratory findings: leukocytosis [amboss.com]
Scrotal abscesses can be intra- or paratesticular; regardless of location, patients with an abscess may present with scrotal pain, erythema, induration, fever, or leukocytosis. [appliedradiology.com]
Treatment
Get clear, concise descriptions and evidence-based treatment guidelines for a full range of clinical conditions, ranging from the common to the unusual. [books.google.com]
Early medical or surgical treatment has a favourable influence on the evolution of the lesions. [ncbi.nlm.nih.gov]
Reference is easy thanks to a unique 3-part structure covering general aspects of treatment; reviews of every agent; and details of treatments of particular infections. [books.google.de]
Despite multiple therapeutic approaches for the attempted treatment of cellulite, there are no FDA-approved pharmacological treatments and little scientific evidence that any current treatments are beneficial[iv]. [prnewswire.com]
Prognosis
Prognosis : fair to good. Pathogenesis Etiology Trauma from improperly constructed or poorly maintained artificial vagina or breeding phantom. Masturbation. Whipping. Fighting. Falls over jumps. [vetstream.com]
With the exception of necrotizing fasciitis, the majority of cases respond well to treatment and have a favorable prognosis. In the event of generalization, sepsis and spread of infection to local and distant sites may result. [amboss.com]
What Is the Prognosis of Cellulitis? Most people respond to the antibiotics in two to three days and begin to show improvement. In rare cases, the cellulitis may progress to a serious illness by spreading through the bloodstream. [emedicinehealth.com]
Sharing information on coping, diagnosis, treatment and prognosis. Sponsored by Lymphedema People. http://health.groups.yahoo.com/group/childrenwithlymphedema/ Subscribe: [email protected] …………………. [lymphedemapeople.com]
Etiology
The final chapter deals with the etiology, pathology, clinical diagnosis, and treatment of priapism. This book is a valuable resource for physicians. [books.google.com]
Export Citation: APA/MLA Format Download EndNote Download BibTex MeSH Terms Descriptor/Qualifier: Adult Cellulitis / diagnosis, etiology*, therapy Humans Male Penile Diseases / diagnosis, etiology*, therapy Sexual Behavior* From MEDLINE®/PubMed®, a database [biomedsearch.com]
[…] of corpora cavernosa Balanoposthitis/balanitis Unclear etiology: possible infection, mechanical trauma, contact irritation, and contact allergies Phimosis Probably results from recurrent bouts of irritation of the foreskin from improper hygiene habits [unboundmedicine.com]
Epidemiology
الصفحة 19 - Epidemiology of erectile dysfunction: results of the 'Cologne Male Survey'. [books.google.com]
Definition / general Infection of skin of penis Epidemiology More common in newborns and immunosuppressed patients Etiology Usually caused by group A Streptococcus; also Staphylococcus, group B Streptococcus and gram negative organisms Deep infections [pathologyoutlines.com]
Seite 19 - Epidemiology of erectile dysfunction: results of the 'Cologne Male Survey'. [books.google.de]
[…] and “hot potato” speech Abdominal wall cellulitis: common in morbidly obese patients Perianal cellulitis: sharply demarcated, bright, perianal erythema Necrotizing cellulitis: gas-producing bacteria in the lower extremities; more common in diabetics Epidemiology [unboundmedicine.com]
Pathophysiology
References: [12] [14] [15] Erysipelas Definition : a superficial skin infection involving the upper dermis, with lymphangitis and lymphadenitis Pathogen : group A Streptococcus ( Streptococcus pyogenes ) Pathophysiology : entry via minor skin injury ; [amboss.com]
Pathophysiology Trauma, usually during mating when penis is erect and exposed → laceration/abrasion to penis. [vetstream.com]
The pathophysiology of Mondor’s disease revolves around the thrombosis of dorsal vein of the penis. [drelist.com]
Etiology and Pathophysiology Cellulitis is caused by bacterial penetration through a break in the skin. Hyaluronidase mediates SC spread. [unboundmedicine.com]
Pathophysiology From birth, the foreskin slowly becomes retractable, as stretching occurs during nocturnal erections. [ahcmedia.com]
Prevention
Regular application of a first class penis health crème (health professionals recommend Man1 Man Oil, which is clinically proven mild and safe for skin) can help to prevent or alleviate rashes. [menshealthfirst.com]
Regular application of a first class penis health crème ( health professionals recommend Man1 Man Oil, which is clinically proven mild and safe for skin ) can help to prevent or alleviate rashes. [slides.com]
Can balanitis be prevented? The risk of balanitis can be reduced with proper hygiene, but not all balanitis can be prevented depending on the underlying cause. [medicinenet.com]
Preventing penile entrapment by a zipper wasn’t an issue until 1913 when the modern zipper made trouser dentata common. Today, paying attention is the best way to prevent it. Wearing underwear helps, too. [nbcnews.com]
Chapter 69 Surrogate Markers of Antiretroviral Efficacy 826 Overcoming Barriers to Providing ARV Therapy in ResourceLimited Settings 831 Chapter 71 Antiretroviral Drugs for HIV Prevention 836 Chapter 72 Acute HIV Infection 843 Chapter 73 Opportunistic [books.google.com]