A Diabetic Patient with Scrotal Subcutaneous Abscess.

Abstract

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. Hehad 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), debridement, antibiotics, immunoglobulin and insulin. This case resembled Founder's gangrene, an infective necrotizing fasciitis of the perineal, genital or perianal regions. Diabetes mellitus is a basic disorder often associated with Founder's gangrene. Scrotal subcutaneous abscess should be prevented from progressing to Founder's gangrene with early and appropriate treatment. (Internal Medicine 39: 991-993, 2000)

Group B streptococcus infection and diabetes: A review

“…Shown in Table 3, diabetic patients with GBS infection have been reported to show various clinical manifestations. GBS infection induce skin and soft tissue infections such as diabetic foot infection (Petersen et al, 2010), necrotizing fasciitis (Lee et al, 2008), multiple loculated shoulder abscess (Varughese et al, 2008), scrotal subcutaneous abscess (Takemura et al, 2000) and pyomyositis (Walling et al, 1991) in diabetic patients. GBS causes respiratory infections such as retropharyngeal phlegmon (Sapunar et al, 2008), lung abscess (Obase et al, 1997), subphrenic abscess (Kawasaki et al, 1985), and empyema (George et al, 1987), and also causes urological infections in diabetic patients (Turan et al, 2008;Amisano et al, 1994).…”

Bilateral testicular abscess due to Streptococcus pneumoniae

“…2 Occasionally cases due to Salmonella typhi, Streptococcus agalactiae, Brucella spp, Clostridium perfringens, Veillonella parvula, and Bacteroides spp have been reported. [3][4][5][6][7] In some cases the infection can be polymicrobial. 6,7 To our knowledge, only two cases due to S. pneumoniae have previously been reported in the literature.…”

“…7 Testicular abscess occurs through hematogenous spread of organisms or by reflux through the urinary tract system. 5,8 Occasionally, the infection has been reported following laparoscopic appendectomy. 10 In our patient, the source of infection was unknown.…”