Abstract
Corpus cavernosum abscesses are uncommon with only 23 prior reports in the literature. Several precipitating factors for cavernosal infections have been described including injection therapy for erectile dysfunction, trauma, and priapism. Common causal organisms include Staphylococcus aureus, Streptococci, and Bacteroides. We report a unique case of a corpus cavernosum abscess due to proctitis with hematological seeding and review the literature on cavernosal abscesses.
References
1.
Kropman RF, de la Fuente RB, Venema PL, van Imhoff WL: Treatment of corpus cavernosum abscess by aspiration and intravenous antibiotics. J Urol 1993;150:1502-1503.
2.
Schwarzer JU, Hofmann R: Purulent corporeal cavernositis secondary to papaverine-induced priapism. J Urol 1991;146:845-846.
3.
Shamloul R, Kamel I: Early treatment of cavernositis resulted in erectile function preservation. J Sex Med 2006;3:320-322.
4.
Vives A, Collado A, Ribe N, Segarra J, Ruiz Castane E, Pomerol JM: Cavernositis following intracavernous injection of vasoactive drugs. Urol Int 2001;67:111-112.
5.
Nalesnik JG, Jones L, Kraus SR: Group B streptococcal septicemia following intracavernous injection therapy for erectile dysfunction in diabetes. J Urol 2004;172:151-152.
6.
Peppas DS, Moul JW, McLeod DG: Candida albicans corpora abscess following penile prosthesis placement. J Urol 1988;140:1541-1542.
7.
Sivaprasad G, Devanathan KS, Ganesh G: Corpora cavernositis caused by actinomycetes. Scand J Urol Nephrol 2005;39:93-94.
8.
Thanos L, Tsagouli P, Eukarpidis T, Mpouhra K, Kelekis D: Computed tomography-guided drainage of a corpus cavernosum abscess: a minimally invasive successful treatment. Cardiovasc Intervent Radiol 2011;34:217-219.
9.
Niedrach WL, Lerner RM, Linke CA: Penile abscess involving the corpus cavernosum: a case report. J Urol 1989;141:374-375.
10.
Frank I, Lieber MM: Gas containing cavernous abscess secondary to an intra-abdominal abscess. J Urol 1999;162:1382-1383.
11.
Sood R, Wadhwa SN, Jain V: Neonatal priapism associated with spontaneous bilateral pyocavernositis. Ann Acad Med Singapore 2006;35:425-427.
12.
Pearle MS, Wendel EF: Necrotizing cavernositis secondary to periodontal abscess. J Urol 1993;149:1137-1138.
13.
Sater AA, Vandendris M: Abscess of corpus cavernosum. J Urol 1989;141:949.
14.
Charles T, Roy C, Lang H, Jacqmin D, Hansmann Y: Abscess of corpus cavernosum following a fellatio or a periodontal infection. Curr Urol 2009;3:217-219.
15.
Moskovitz B, Vardi Y, Pery M, Bolkier M, Levin DR: Abscess of corpus cavernosum. Urol Int 1992;48:439-440.
16.
Sagar J, Sagar B, Shah DK: Spontaneous penile (cavernosal) abscess: case report with discussion of aetiology, diagnosis, and management with review of literature. ScientificWorldJournal 2005;5:39-41.
17.
Kumar S, Sharma SK, Goswami AK: Spontaneous bacterial abscess of corpus cavernosum. Indian J Urol 2004;20:66-67.
18.
Ehara H, Kojima K, Hagiwara N, Phuoc NB, Deguchi T: Abscess of the corpus cavernosum. Int J Infect Dis 2007;11:553-554.
19.
Palacios A, Masso P, Versos R, Osorio L, Carvalho LF, Soares J, Marcelo F: penile abscess. Case report. Arch Esp Urol 2006;59:809-811.
20.
Pascual Regueiro D, Garcia de Jalon Martinez A, Mallen Mateo E, Sancho Serrano C, Borque Fernando A, Rioja Sanz LA: penile curvature secondary to cavernous body abscess. Actas Urol Esp 2003;27:55-59.
21.
Koksal T, Kadioglu A, Tefekli A, Usta M, Besisik A, Erol B: Spontaneous bacterial abscess of bilateral cavernosal bodies. BJU Int 1999;84:1107-1108.
22.
Yachia D, Friedman M, Auslaender L: Tuberculous cold abscess of the corpus cavernosum: a case report. J Urol 1990;144:351-352.
23.
Murali TR, Raja NS: Cavernosal cold abscess: a rare cause of impotence. Br J Urol 1998;82:929-930.
24.
Nisbet M, Thomas M: Liver abscess associated with persistent Streptococcus anginosus bacteremia. Clin Infect Dis 2005;41:352-353, 403-405.
25.
Bert F, Bariou-Lancelin M, Lambert-Zechovsky N: Clinical significance of bacteremia involving the “Streptococcus milleri” group: 51 cases and review. Clin Infect Dis 1998;27:385-387.
26.
Karchmer AW, MacGillivray TE, Healey TT, Stone JR: Case records of the massachusetts general hospital. Case 1-2011. A 35-year-old man with fever, bacteremia, and a mass in the left atrium. N Engl J Med 2011;364:158-166.
27.
Rich MW, Radwany SM: ‘Streptococcus milleri' septicemia in a patient with colorectal carcinoma. Eur J Clin Microbiol Infect Dis 1993;12:225.
28.
Sasaki H, Ishizuka T, Muto M, Nezu M, Nakanishi Y, Inagaki Y, Watanabe H, Watanabe H, Terada M: Presence of Streptococcus anginosus DNA in esophageal cancer, dysplasia of esophagus, and gastric cancer. Cancer Res 1998;58:2991-2995.
29.
Muto M, Ohtsu A, Boku N, Tajiri H, Yoshida S: Streptococcus milleri infection and pericardial abscess associated with esophageal carcinoma: report of two cases. Hepatogastroenterology 1999;46:1782-1784.
30.
Murarka S, Pranav F, Dandavate V: Pyogenic liver abscess secondary to disseminated streptococcus anginosus from sigmoid diverticulitis. J Glob Infect Dis 2011;3:79-81.
© 2013 S. Karger AG, Basel
2013
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