Penile Cellulitis Due to Methicillin Resistant Staphylococcus aureus MRSA in a 15 Month Old Uncircumcised Boy: A Case Report

Abstract

Within 24 hours the swelling and redness of the penis showed evidence of improvement. He was able to void without difficulty and was discharged home after 48 hours of intravenous antibiotics. He completed a 7-day outpatient course of oral Clindamycin. Upon follow-up, patient had recovered without any complications. DiscussionPenile cellulitis presents as swelling of the penis and may be associated with discharge as well as inguinal lymphadenopathy. It may also produce urinary symptoms as well as systemic toxicity. Although uncommon, is predominantly seen in sexually active young men. It can, however, affect all age groups including pediatric population such as newborns and young children [1].Physiology phimosis is a common finding in uncircumcised newborn males. Due to this, the foreskin is unable to be retracted and adhesions are visualized. If the prepuce is forcefully retracted, it may cause micro traumas which are a predisposing factor causing balanoposthitis. If balanoposthitis not treated adequately, it can lead to cellulitis of the penis.Given penile cellulitis is usually transmitted sexually, Streptococci are the most common causative organisms isolated. Β-hemolytic Group B Streptococci (GBS) is the likely pathogen as it can be