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Pediatric priapism associated with Mycoplasma pneumoniae
S J Hirshberg1, R S Charles, J B Ettinger
1Department of Surgery, Abington Memorial Hospital, Pennsylvania 19001, USA.
Urology
|May 1, 1996
Summary
A rare case of pediatric priapism in a 12-year-old boy was linked to Mycoplasma pneumoniae infection. This infection may induce a hypercoagulable state, leading to prolonged erections requiring surgical intervention.
Area of Science:
- Pediatric Urology
- Infectious Diseases
- Hematology
Background:
- Priapism is uncommon in children, often associated with sickle cell disease or hematologic malignancies.
- This case highlights a rare etiology in the pediatric population.
Observation:
- A 12-year-old boy presented with priapism following a recent upper respiratory infection.
- Initial conservative management and surgical shunts were unsuccessful in achieving detumescence.
Findings:
- Serum analysis revealed moderate Mycoplasma pneumoniae infection.
- The patient ultimately required an El-Ghorab procedure for successful detumescence.
- This is the first reported instance of priapism associated with Mycoplasma pneumoniae infection.
Implications:
- Mycoplasma pneumoniae infection may precipitate a hypercoagulable state, contributing to priapism.
- This finding expands the differential diagnosis for pediatric priapism.
- Highlights the importance of considering infectious etiologies in unexplained priapism.