Naslov
Penile actinomycosis in a 45-year-old patient who had distal hypospadia repair in childhood

Autori
Tomasović, Domagoj ; Vukelić, Dalibor

Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, sažetak, znanstveni

Skup
1st South-East European Conference on Travel, Tropical, Migration Medicine and HIV & 2nd Croatian Congress on Travel, Tropical, Migration Medicine & HIV

Mjesto i datum
Dubrovnik, Hrvatska, 28.09.2017. - 01.10.2017

Vrsta sudjelovanja
Poster

Vrsta recenzije
Domaća recenzija

Ključne riječi
Actinomycosis ; distal hypospadia ; childhood

Sažetak
Introduction: Actinomycosis is an indolent, slowly progressive infection caused by anaerobic or microaerophilic bacteria, primarily from the genus Actinomyces, which normally colonize mouth, colon, and vagina. Disruption of mucosa may lead to an infection of virtually any site. The main species of human importance are A. israelii and A. gerencseriae. Others include A. meyeri (isolated from brain abscesses), A. viscosus (found in dental caries), and also A. naeslundii and A. odontolyticus. Penile inflammatory conditions can occur at any age, being more common in males with primary phimosis. Most of infections are balanitis and balanoposthitis. Actinomycosis of penis is an extremely rare condition and most cases present an association with pilonidal sinus of the penis. Case report: 45-year-old patient with past medical history of surgical correction of hypospadia in childhood has been initially admitted to the hospital with symptoms suggestive of urinary tract infection. 45 days before hospitalization, due to trauma, right femur osteosynthesis has been performed. Indwelling urinary catheter was inserted upon hospitalization, during which he was diagnosed with pyelonephritis caused by well- sensitive E. coli. Treatment was started with ciprofloxacin. After two days of hospital stay, a painful red fluctuant inflammed mass of distal part of penile shaft was observed. Analysis of the pus from penile abscess demonstrated polymorphonuclears and Actinomyces odontolyticus was isolated. Treatment was switched to crystallized penicillin (with rapid clinical response) for a month, followed by two months of amoxicillin treatment. Three months upon the treatment end, no signs of relapse have been noted. It is thought that the disease has been caused by a penile skin disruption during previous hospitalization preceded by correction surgery resulting in anatomically modificated penis.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

POVEZANOST RADA