A Diabetic Patient with Scrotal Subcutaneous Abscess

概要

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A 51-year-old type 2 diabetic patient with a scrotal subcutaneous abscess is reported. He was diagnosed as having diabetes mellitus five years earlier. He had left scrotal swelling and pain with granulocytosis, elevated C-reactive protein and hyperglycemia. He was successfully treated with incision and drainage (Streptococcus agalactiae was identified in the pus), débridement, antibiotics, immunoglobulin and insulin. This case resembled Fourniers gangrene, an infective necrotizing fasciitis of the perineal, genital or perianal regions. Diabetes mellitus is a basic disorder often associated with Fourniers gangrene. Scrotal subcutaneous abscess should be prevented from progressing to Fourniers gangrene with early and appropriate treatment.(Internal Medicine 39: 991-993, 2000)