![](/images/graphics-bg.png)
Necrotizing Urethritis due to Aerococcus urinae
Joint Authors
Babaeer, Abdulrahman A.
Nader, Claudia
Iacoviello, Vito
Tomera, Kevin
Source
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-06-11
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
A 49-year-old male presented to the emergency with hematuria and pain in the shaft of the penis for one day.
The patient was found to be in a state of shock.
The shaft of the penis and the scrotum were swollen and tender.
No skin necrosis was observed and no crepitus was palpable.
Serum white count (WBC) was 29.5 × 103/μL.
A CT scan showed gas in the corpus spongiosum.
Antibiotics were started with IV metronidazole, vancomycin, and piperacillin/tazobactam.
Metronidazole was then replaced by clindamycin.
Exploration was performed but no necrotic tissue was identified.
Cystourethroscopy revealed dusky looking urethra.
A suprapubic tube and a urethral catheter were placed in the bladder.
WBC trended down to 13.9 × 103/μL on the fourth postoperative day.
Urine culture grew Aerococcus urinae and blood cultures grew Alpha Hemolytic Streptococcus.
On the sixth day, the patient was feeling worse and WBC increased.
MRI revealed absent blood flow to the corpus spongiosum.
Urethroscopy revealed necrosis of the urethra.
Urethrectomy was performed via perineal approach.
The patient immediately improved.
The patient was discharged on the sixth postoperative day to continue ampicillin/sulbactam IV every 6 hours for a total of 4 weeks from the day of urethrectomy.
American Psychological Association (APA)
Babaeer, Abdulrahman A.& Nader, Claudia& Iacoviello, Vito& Tomera, Kevin. 2015. Necrotizing Urethritis due to Aerococcus urinae. Case Reports in Urology،Vol. 2015, no. 2015, pp.1-3.
https://search.emarefa.net/detail/BIM-1060204
Modern Language Association (MLA)
Babaeer, Abdulrahman A.…[et al.]. Necrotizing Urethritis due to Aerococcus urinae. Case Reports in Urology No. 2015 (2015), pp.1-3.
https://search.emarefa.net/detail/BIM-1060204
American Medical Association (AMA)
Babaeer, Abdulrahman A.& Nader, Claudia& Iacoviello, Vito& Tomera, Kevin. Necrotizing Urethritis due to Aerococcus urinae. Case Reports in Urology. 2015. Vol. 2015, no. 2015, pp.1-3.
https://search.emarefa.net/detail/BIM-1060204
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1060204