Bilateral penile cavernosal abscess secondary to Escherichia coli: a case report of a rare diagnosis

Abstract

Cavernosal abscess is a rare diagnosis. Disparity exists in the literature but the most common colonising agents appear to be Neisseira gonorrhoea and Staphylococcus aureus. We describe a 75-year-old man who presented with sepsis and was found to have Escherichia coli positive blood and urinary cultures. Following initial treatment for sepsis of unknown origin, computed tomography demonstrated a bilateral cavernosal abscess. The patient was successfully treated with incision and drainage, multiple re-looks and a delayed closure, alongside a course of appropriate antibiotics. A defect in the bulbar urethra was identified and repaired with bladder drainage via both suprapubic and urethral catheters. Following discharge, a urethrogram showed no urethral leak or stricture and the patient is now catheter free.

Intriguing case of fistula-in-ano presenting as corpora spongiosum abscess

“…[1] Etiology and inciting factors for penile abscess are many, including self-intracavernous injection in young to middle aged men, as seen in of these cases, secondary to suppressed immune system due to various causes such as diabetes, sickle cell anemia, anabolic steroid intake as seen in four cases, post-surgery complication as seen in two of these cases, previous infection or inflammation in four of these cases, neglected penile fracture in three cases, spontaneous or unknown cause in six cases, and following malignancy in one case. [3][4][5][6][7][8][9][10] The youngest patient from 6 to 75 years of age has been described in the literature. [3][4][5][6][7][8][9][10] All of the patients underwent surgical invention along with antibiotics, except one case that was treated solely was antibiotics.…”

“…[3][4][5][6][7][8][9][10] The youngest patient from 6 to 75 years of age has been described in the literature. [3][4][5][6][7][8][9][10] All of the patients underwent surgical invention along with antibiotics, except one case that was treated solely was antibiotics. [3][4][5][6][7][8][9][10]…”

“…[3][4][5][6][7][8][9][10] All of the patients underwent surgical invention along with antibiotics, except one case that was treated solely was antibiotics. [3][4][5][6][7][8][9][10]…”

Corpus cavernosum abscess: A case report

“… 1 In some reports, these pathogens were found in blood cultures, which may suggest septicemia with theory of agent inoculation from other infectious foci in the corpus cavernosum, which leads to infection and development of the abscess. 2 Poorly conducted penile fractures and procedures for the drainage or surgical treatment of priapism may favor this inoculation and, eventually, abscess formation.…”

Integrative Review of Case Reports of Corpus Cavernosum Abscess

“…In many other cases, the cause remains uncertain [22][23][24][25][26][27][28][29][30][31][32][33][34][35][36][37][38][39][40][41].…”