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A man developed an " unusual " cause of gangrene , or tissue death , after an improperly applied outside catheter curve off blood stream to his phallus and top to a serious bacterial infection . regrettably , despite aggressive treatment , the world ultimately died of infected shock , a precondition in which a someone ’s blood line pressure overleap dangerously low and variety meat shut down .
Prior to developing mortification , the 64 - year - old man had lose some restraint of his vesica due to a stroke that interrupted the blood flow to part of hisbrain , according to a report of the eccentric , issue Jan. 31 in theJournal of Medical Case Reports . After being treat for the stroke , he was prescribe line of descent thinners to preclude the establishment of parentage clots , and give a condom catheter , a twist that tally over the member like a safe and siphons urine into an attached bag . He was then discharged from the hospital .
A man died after developing complications from gangrene of the penis.
Ten days later , the man returned to the hospital with pyrexia , bother and brown - grim discoloration of his member . Doctors incur that the last of the patient ’s penis was " engorged " and " mortified , " meaning there was a important amount of dead tissue . In addition , his blood contained a notably in high spirits assiduousness of white-hot parentage cell — transmission - fighting resistant cell — so he was given spacious - spectrumantibiotics .
Later trial give away that he was infect withKlebsiella pneumoniae , a case ofbacteriathat can sometimes taint patient in wellness tending options and poses the high peril to those with weakenedimmune systems , according to theCenters for Disease Control and Prevention . ( In accession to a chronicle of stroke , the world hadtype 2 diabetes , which can compromise resistant function , the case report author noted . )
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To treat the man ’s mortification , doctors first cleared all the dead tissue paper from the affected sphere ; this involved a penectomy and urethrectomy , to remove the penis and the channel that carries urine from the vesica out of the soundbox . A new , interior catheter was set after the routine .
" Although rootage command was reach with aggressive debridement " — meaning tissue removal — " thrifty wound charge , and wide - spectrum antibiotherapy , the patient die due to infected shock , " the doctors compose .
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Tissue - killing infections of the venereal area are known as " Fournier ’s slough , " since the condition was first described in the late 1800s by dermatologist and venereal specialist J.A. Fournier , the case account State Department .
" The time between diagnosing and treatment greatly affects morbidity and mortality , and it can chop-chop progress to sepsis . This is why it remain a liveliness - threatening disease , " the writer spell . Historically , successful handling of the condition have take straightaway antibiotic treatment and removal of stagnant tissues , followed by reconstructive surgical process . The doctors followed these examples , " but in our cause , the infected complication was disastrous , " they write .
" Healthcare professional should be aware that improperly hold condom catheters can lead to penile slough , a rare but serious condition , " the generator reason . " Prevention is the key fruit , by preserve strict hygiene and frequent monitoring of the twist . "
