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[Gonococcal abscess in the prepuce: a case report].

Y Yamada1, K Ito

  • 1Department of Urology, Kyushu Rosai Hospital.

Kansenshogaku Zasshi. the Journal of the Japanese Association for Infectious Diseases
|October 19, 2001
PubMed
Summary
This summary is machine-generated.

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A rare gonococcal abscess of the prepuce, without urethritis, spread despite fluoroquinolone treatment. Intravenous cefodizime successfully eradicated the infection and resolved symptoms.

Area of Science:

  • Urology
  • Infectious Diseases
  • Microbiology

Background:

  • Gonococcal infections typically manifest as urethritis.
  • Extragenital and invasive gonococcal disease is uncommon.
  • Preputial abscess is a rare presentation of Neisseria gonorrhoeae infection.

Observation:

  • A case of gonococcal abscess in the prepuce was observed.
  • The patient did not present with concurrent urethritis.
  • Initial fluoroquinolone therapy proved ineffective, leading to abscessal spread.

Findings:

  • The abscess extended into the subcutaneous tissue around the penile root.
  • Intravenous administration of cefodizime was initiated.
  • Clinical symptoms improved significantly following cefodizime treatment.

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Implications:

  • This case highlights a rare presentation of gonococcal infection.
  • Cefodizime demonstrated efficacy in treating invasive gonococcal disease.
  • Prompt and appropriate antibiotic selection is crucial for managing complicated gonococcal infections.