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Scrotal Elephantiasis


Presentation

  • Abstract Isolated penile and scrotal elephantiasis presents a diagnostic and therapeutic challenge. We report a case of chronic penile and scrotal elephantiasis caused by indolent Chlamydia trachomatis infection.[ncbi.nlm.nih.gov]
  • We present a unique case of a 22-year-old man with idiopathic lymphedema isolated to the scrotum. After acquired causes of lymphedema were ruled out, the patient was treated with scrotectomy and scrotal reconstruction.[ncbi.nlm.nih.gov]
  • We present a case of a 65-year-old with idiopathic lymphedema of the scrotum and functional impairment of the penis. The patient underwent surgical excision of the edematous subcutaneous tissues and plastic reconstruction of his penis and scrotum.[ncbi.nlm.nih.gov]
  • Presentation of the case A 65-year-old man presented in Beira Central Hospital, Mozambique, with a right scrotal mass (diameter 80 x 80 cm), evolved over 15 years.[journals.plos.org]
  • The surgical management of a case of severe scrotal elephantiasis is presented. Excellent functional and esthetic results were achieved by excision of the involved scrotal tissue, and a transverse closure.[ncbi.nlm.nih.gov]
Recurrent Urinary Tract Infection
  • Suprapubic cystostomy had been performed outside our institution ten years ago due to residual urine and recurrent urinary tract infections. There was no history of sexual contact, surgery, irradiation or travel.[jmedicalcasereports.biomedcentral.com]
Foul Smelling Discharge
  • After rupture, the lesions often extrude a purulent, foul-smelling discharge. As the disease process continues, fibrosis, dermal contractures and induration of the skin may occur.[urologyannals.com]
Neurologic Manifestation
  • Manifestations of HIV 910 Chapter 77 Gastrointestinal Manifestations of HIV Infection and AIDS 927 Chapter 78 Renal Manifestations of HIV Infection and AIDS 951 Chapter 79 HIV and Endocrine Manifestations 960 Chapter 80 AIDS Associated Malignancies and[books.google.com]
Scrotal Pain
  • Englisch-Deutsch 130 scrotal hydrocele Skrotumhydrozele f, Hodensackwasserbruch m Fachwörterbuch Medizin Englisch-Deutsch 131 scrotal hypospadias Fachwörterbuch Medizin Englisch-Deutsch 132 scrotal lymphangitis Fachwörterbuch Medizin Englisch-Deutsch 133 scrotal[translate.academic.ru]
  • For that reason any acute scrotal pain with edema requires urgent and specialized evaluation.[lymphedemapeople.com]

Workup

C-Reactive Protein Increased
  • C-reactive-protein increased. Series of autoimmune antibody tests were negative.[ncbi.nlm.nih.gov]
Hypercholesterolemia
  • His medical history included morbid obesity, non-insulin dependent diabetes mellitus, hypercholesterolemia and hypertension. Medications included metformin, aspirin, rosuvastatin and amlodipine. Physically, he was 6 feet tall and 475 pounds.[thefreelibrary.com]

Treatment

  • One year after surgical treatment, the patient is healthy without recurrence signs.[ncbi.nlm.nih.gov]
  • This one-stage treatment yielded an excellent cosmetic and functional outcome.[experts.umn.edu]
  • Ablative procedure has been used in its treatment and has achieved limited success. The authors developed a microlymphaticovenous procedure to treat elephantiasis of the scrotum and applied it clinically in three patients.[ncbi.nlm.nih.gov]
  • A form of treatment that would alleviate this distressful state and would be feasibly applicable should be worthy of critical consideration.[ncbi.nlm.nih.gov]

Prognosis

  • Treatment and prognosis Treatment options include diethylcarbamazine (DEC) 6mg/kg body weight in combination with albendazole. Complications Grossly dilated lymphatics and edema progressing to elephantiasis .[radiopaedia.org]
  • Prognosis depends on early and urgent surgical management. You may thus request that your data, should it be inaccurate, incomplete, unclear, outdated, not be used or stored, be corrected, clarified, updated or deleted.[santicavision.info]
  • References : Lymphatic filariasis: Guidance for evaluation and treatment Lymphatic filariasis: Prognosis[flipper.diff.org]
  • PCR methods have recently been found useful for diagnosis of culture negative cases. 56 The prognosis for fertility following tuberculous salpingitis is poor 57 and the risk of ectopic pregnancy is increased.[sti.bmj.com]
  • Chronic filariasis Treatment of chronic filariasis does not change the prognosis, as irreversible fibrosis usually destroys lymphatic tissue.[emedicine.medscape.com]

Etiology

  • Although genetic causes were searched and the possible role of infectious agents and compressive factors was evaluated, no etiology was ascertained.[ncbi.nlm.nih.gov]
  • The etiology of the lymphedema usually determines the natural course and the therapeutic approach.[jmedicalcasereports.biomedcentral.com]
  • In Mozambique, as in many other countries of sub-Saharan Africa, lymphatic filariasis represents the most important etiology [ 1 ].[journals.plos.org]
  • The content explores the etiologic agents of human disease belonging to the animal kingdom: protozoa, helminths (worms), and arthropods (insects and spiders), all of which are a significant cause of, or link to illness encountered both in tropical and[books.google.com]
  • Giant scrotal elephantiasis with unknown etiology. Annals of plastic surgery. 2005 Jun;54(6):685-6. PubMed PMID: 15900164.[turkplastsurg.org]

Epidemiology

  • In addition to providing detailed descriptions of these agents, this text deals with the clinical diseases they cause, their modes of acquisition, transmission and epidemiology, and their pathogenesis, diagnosis, treatment and prevention.[books.google.com]
  • Looking at the epidemiological and clinical findings, we made a diagnosis of penoscrotal elephantiasis. The patient had taken a dose of anti filarial drugs (albendazol and ivermectin).[bacandrology.biomedcentral.com]
  • ( 26281791 ) 2015 35 Epidemiology of elephantiasis with special emphasis on podoconiosis in Ethiopia: A literature review. ( 26119541 ) 2015 36 Massive Soft Tissue Neurofibroma (Elephantiasis Neuromatosa): Case Report and Review of Literature. ( 25694465[malacards.org]
  • Further epidemiological data reviewed since, indicate that preventive chemotherapy was not required in 10 countries.[who.int]
Sex distribution
Age distribution

Pathophysiology

  • After briefly presenting an overview of the demography of subfecundity, this book goes on exploring the pathophysiology and effect on fecundity of various diseases, which are classified into three groups.[books.google.com]
  • Pathophysiology The pathophysiology is permanent lymphatic dilatation and dysfunction. This leads to swelling and secondary infections resulting in chronic skin changes and continued risk of infection.[dermatologyadvisor.com]

Prevention

  • 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]
  • In addition to providing detailed descriptions of these agents, this text deals with the clinical diseases they cause, their modes of acquisition, transmission and epidemiology, and their pathogenesis, diagnosis, treatment and prevention.[books.google.com]
  • Centers for Disease Control and Prevention (CDC). The swellings are caused by the buildup of fluids and waste products—since the lymphatic system is not functioning properly—and can leave sufferers more susceptible to infections.[newsweek.com]
  • Large-scale treatment (preventive chemotherapy) Elimination of lymphatic filariasis is possible by stopping the spread of the infection through preventive chemotherapy.[who.int]
  • It is mandatory to strengthen the health system, both in terms of healthcare and of prevention. Acknowledgments The authors thank Dr.[journals.plos.org]

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