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 language | English (US) |
|---|---|
| Pages (from-to) | 35-39 |
| Number of pages | 5 |
| Journal | Surgery Gynecology and Obstetrics |
| Volume | 141 |
| Issue number | 1 |
| State | Published - 1975 |
| Externally published | Yes |
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ASJC Scopus subject areas
- Surgery
- Obstetrics and Gynecology
Cite this
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 journal › Article
}
TY - JOUR
T1 - Streptococcal cellulitis of the scrotum and penis with secondary skin gangrene
AU - Haury, B.
AU - Rodeheaver, G.
AU - Stevenson, Thomas R
AU - Bacchetta, C.
AU - Edgerton, M. T.
AU - Edlich, R. F.
PY - 1975
Y1 - 1975
N2 - 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.
AB - 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.
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UR - http://www.scopus.com/inward/citedby.url?scp=0016680908&partnerID=8YFLogxK
M3 - Article
C2 - 1098183
AN - SCOPUS:0016680908
VL - 141
SP - 35
EP - 39
JO - Journal of the American College of Surgeons
JF - Journal of the American College of Surgeons
SN - 1072-7515
IS - 1
ER -