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Unusual presentation of necrotizing fasciitis in a patient who had achieved long‐term remission after irradiation for testicular cancer
Author(s) -
MIYAGAWA TOMOAKI,
KAWAI KOJI,
ONOZAWA MIZUKI,
HATTORI KAZUNORI,
SHIMAZUI TORU,
AKAZA HIDEYUKI
Publication year - 2005
Publication title -
international journal of urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.172
H-Index - 67
eISSN - 1442-2042
pISSN - 0919-8172
DOI - 10.1111/j.1442-2042.2005.01030.x
Subject(s) - medicine , fasciitis , foreskin , septic shock , scrotum , erythema , radiation therapy , streptococcus pyogenes , shock (circulatory) , presentation (obstetrics) , surgery , pelvis , dermatology , sepsis , staphylococcus aureus , genetics , bacteria , biology , cell culture
We report a case of a 60‐year‐old man with necrotizing fasciitis complicated by streptococcal toxic shock syndrome. The patient had received high‐dose chemotherapy and radiotherapy to the pelvis for relapsed seminoma 7 years previously. He had been in long‐term remission. He was admitted to the Tsukuba University Hospital, Tsukuba‐City, Ibaraki, Japan, with complaints of fever and localized erythema over the foreskin. The patient suffered from septic shock and multiple organ failure. Despite intensive care, he died 18 h after admission. Streptococcus pyogenes was isolated from both the wound and blood culture. To our knowledge, this is the first description of necrotizing fasciitis primarily affecting the penile skin.