Streptococcal cellulitis of the scrotum and penis with secondary skin gangrene

B. Haury, G. Rodeheaver, Thomas R Stevenson, C. Bacchetta, M. T. Edgerton, R. F. Edlich

Research output: Contribution to journalArticle

19 Citations (Scopus)

Abstract

Cellulitis of the scrotum and penis is caused, in the majority of instances, by a beta hemolytic streptococcus without a discernible portal of entry. Clostridium, occasionally, will result in this disease as a manifestation of a perirectal abscess. In either instance, fluid accumulates rapidly in the closed space between Colles' and Buck's fascia, producing intense swelling of the scrotum. If this compartment is not immediately decompressed by linear incisions, devascularization of the scrotal and penile skin will often occur, resulting in gangrene. Immediate treatment of the bacterial infection with penicillin also is essential. If gangrene does develop, radical debridement of the necrotic tissue as well as a wide margin of adjacent inflamed skin must be undertaken. Continual monitoring of the microflora of the debrided wound is essential for the selection of the appropriate antibiotic against any secondary intruders. Coverage of the granulating wound is accomplished when the wound bacterial count is below 10 5 per gram of tissue.

Original languageEnglish (US)
Pages (from-to)35-39
Number of pages5
JournalSurgery Gynecology and Obstetrics
Volume141
Issue number1
StatePublished - 1975
Externally publishedYes

Fingerprint

Scrotum
Cellulitis
Gangrene
Penis
Skin
Wounds and Injuries
Clostridium
Bacterial Load
Fascia
Debridement
Streptococcus
Bacterial Infections
Penicillins
Abscess
Anti-Bacterial Agents

ASJC Scopus subject areas

  • Surgery
  • Obstetrics and Gynecology

Cite this

Haury, B., Rodeheaver, G., Stevenson, T. R., Bacchetta, C., Edgerton, M. T., & Edlich, R. F. (1975). Streptococcal cellulitis of the scrotum and penis with secondary skin gangrene. Surgery Gynecology and Obstetrics, 141(1), 35-39.

Streptococcal cellulitis of the scrotum and penis with secondary skin gangrene. / Haury, B.; Rodeheaver, G.; Stevenson, Thomas R; Bacchetta, C.; Edgerton, M. T.; Edlich, R. F.

In: Surgery Gynecology and Obstetrics, Vol. 141, No. 1, 1975, p. 35-39.

Research output: Contribution to journalArticle

Haury, B, Rodeheaver, G, Stevenson, TR, Bacchetta, C, Edgerton, MT & Edlich, RF 1975, 'Streptococcal cellulitis of the scrotum and penis with secondary skin gangrene', Surgery Gynecology and Obstetrics, vol. 141, no. 1, pp. 35-39.
Haury, B. ; Rodeheaver, G. ; Stevenson, Thomas R ; Bacchetta, C. ; Edgerton, M. T. ; Edlich, R. F. / Streptococcal cellulitis of the scrotum and penis with secondary skin gangrene. In: Surgery Gynecology and Obstetrics. 1975 ; Vol. 141, No. 1. pp. 35-39.
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