Fournier’s Gangrene in a Heterosexual Man: A Complication of Neisseria meningitidis Urethritis
A 55-year-old heterosexual male presented to the emergency department with a symptomatology consistent with urethritis and Fournier’s gangrene. Urethral swab and operative tissue cultures were positive for coagulase-negative Staphylococcus and an intracellular Gram-negative diplococcus. The latter w...
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| Format: | Article |
| Language: | English |
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Wiley
2012-01-01
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| Series: | Case Reports in Urology |
| Online Access: | http://dx.doi.org/10.1155/2012/312365 |
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| author | Tariq A. Khemees Brian S. Porshinsky Abhishek P. Patel Christopher D. McClung |
| author_facet | Tariq A. Khemees Brian S. Porshinsky Abhishek P. Patel Christopher D. McClung |
| author_sort | Tariq A. Khemees |
| collection | DOAJ |
| description | A 55-year-old heterosexual male presented to the emergency department with a symptomatology consistent with urethritis and Fournier’s gangrene. Urethral swab and operative tissue cultures were positive for coagulase-negative Staphylococcus and an intracellular Gram-negative diplococcus. The latter was initially thought to be Neisseria gonorrhea; however, DNA sequencing technique confirmed it to be Neisseria meningitidis. The patient required three separate surgical debridements to control widespread necrotizing infection. Following documentation of sterile wound healing with appropriate antibiotics, four reconstructive surgeries were necessary to manage the resultant wound defects. To our knowledge, Neisseria meningitidis as a causative organism in Fournier’s gangrene has not been reported in the literature. |
| format | Article |
| id | doaj-art-78ccd0ce755b4ea9ba63d898293f0581 |
| institution | Kabale University |
| issn | 2090-696X 2090-6978 |
| language | English |
| publishDate | 2012-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Urology |
| spelling | doaj-art-78ccd0ce755b4ea9ba63d898293f05812025-02-03T01:26:13ZengWileyCase Reports in Urology2090-696X2090-69782012-01-01201210.1155/2012/312365312365Fournier’s Gangrene in a Heterosexual Man: A Complication of Neisseria meningitidis UrethritisTariq A. Khemees0Brian S. Porshinsky1Abhishek P. Patel2Christopher D. McClung3Department of Urology, The Ohio State University Wexner Medical Center, Columbus, OH 43212, USADepartment of Plastic Surgery, The Ohio State University Wexner Medical Center, Columbus, OH 43212, USADepartment of Urology, The Ohio State University Wexner Medical Center, Columbus, OH 43212, USADepartment of Urology, The Ohio State University Wexner Medical Center, Columbus, OH 43212, USAA 55-year-old heterosexual male presented to the emergency department with a symptomatology consistent with urethritis and Fournier’s gangrene. Urethral swab and operative tissue cultures were positive for coagulase-negative Staphylococcus and an intracellular Gram-negative diplococcus. The latter was initially thought to be Neisseria gonorrhea; however, DNA sequencing technique confirmed it to be Neisseria meningitidis. The patient required three separate surgical debridements to control widespread necrotizing infection. Following documentation of sterile wound healing with appropriate antibiotics, four reconstructive surgeries were necessary to manage the resultant wound defects. To our knowledge, Neisseria meningitidis as a causative organism in Fournier’s gangrene has not been reported in the literature.http://dx.doi.org/10.1155/2012/312365 |
| spellingShingle | Tariq A. Khemees Brian S. Porshinsky Abhishek P. Patel Christopher D. McClung Fournier’s Gangrene in a Heterosexual Man: A Complication of Neisseria meningitidis Urethritis Case Reports in Urology |
| title | Fournier’s Gangrene in a Heterosexual Man: A Complication of Neisseria meningitidis Urethritis |
| title_full | Fournier’s Gangrene in a Heterosexual Man: A Complication of Neisseria meningitidis Urethritis |
| title_fullStr | Fournier’s Gangrene in a Heterosexual Man: A Complication of Neisseria meningitidis Urethritis |
| title_full_unstemmed | Fournier’s Gangrene in a Heterosexual Man: A Complication of Neisseria meningitidis Urethritis |
| title_short | Fournier’s Gangrene in a Heterosexual Man: A Complication of Neisseria meningitidis Urethritis |
| title_sort | fournier s gangrene in a heterosexual man a complication of neisseria meningitidis urethritis |
| url | http://dx.doi.org/10.1155/2012/312365 |
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