Intrascrotal Abscess, Propionibacterium acnes and Staphylococcus cohnii ssp. cohnii: A Case Report and Review of the Literature
Introduction. The Propionibacterium acnes and the Staphylococcus cohnii ssp. cohnii are occasional pathogenic bacteria. The intrascrotal localization of the Propionibacterium acnes is exceptional. The Staphylococcus cohnii ssp. cohnii is not able to colonize the urogenital apparatus but it is the mo...
Saved in:
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2012-01-01
|
| Series: | Case Reports in Urology |
| Online Access: | http://dx.doi.org/10.1155/2012/313694 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850110306519351296 |
|---|---|
| author | Masciovecchio Stefano Alessandro Del Rosso Pietro Saldutto Giuseppe Paradiso Galatioto Carlo Vicentini |
| author_facet | Masciovecchio Stefano Alessandro Del Rosso Pietro Saldutto Giuseppe Paradiso Galatioto Carlo Vicentini |
| author_sort | Masciovecchio Stefano |
| collection | DOAJ |
| description | Introduction. The Propionibacterium acnes and the Staphylococcus cohnii ssp. cohnii are occasional pathogenic bacteria. The intrascrotal localization of the Propionibacterium acnes is exceptional. The Staphylococcus cohnii ssp. cohnii is not able to colonize the urogenital apparatus but it is the most frequently responsible for blood culture contamination even if it can sustain, in particular conditions, systemic infections. Case Presentation. We report the case of a 72-year-old man who is under observation for pain and swelling of the left hemiscrotum associated to high fever. The scrotal ultrasound shows the presence of a left intra-scrotal abscess with didymus, epididymis, and intact didymus-epididymis tunicae. The blood culture executed for evening fever during antibiotic therapy has underlined an infection with Propionibacterium acnes. A following blood culture has shown an increase in Staphylococcus cohnii ssp. cohnii. Due to fever the patient has undergone left orchifunicolectomy with inguino-scrotal toilet. The anatomical pathological examination has also shown the presence of nonspecific granulomatous inflammation compatible with Propionibacterium acnes infection. Conclusion. The onset of an intrascrotal abscess likely sustained by Propionibacterium acnes complicated by a possible systemic Staphylococcus cohnii ssp. cohnii suprainfection is an exceptional event that, in our case, has been resolved with surgical toilet. |
| format | Article |
| id | doaj-art-4555c9ae7d114956b2d00a0fe846c5b8 |
| institution | OA Journals |
| issn | 2090-696X 2090-6978 |
| language | English |
| publishDate | 2012-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Urology |
| spelling | doaj-art-4555c9ae7d114956b2d00a0fe846c5b82025-08-20T02:37:51ZengWileyCase Reports in Urology2090-696X2090-69782012-01-01201210.1155/2012/313694313694Intrascrotal Abscess, Propionibacterium acnes and Staphylococcus cohnii ssp. cohnii: A Case Report and Review of the LiteratureMasciovecchio Stefano0Alessandro Del Rosso1Pietro Saldutto2Giuseppe Paradiso Galatioto3Carlo Vicentini4Department of Life, Health, & Environmental Sciences, University of L'Aquila, “Giuseppe Mazzini” General Hospital, Teramo, ItalyDepartment of Life, Health, & Environmental Sciences, University of L'Aquila, “Giuseppe Mazzini” General Hospital, Teramo, ItalyDepartment of Life, Health, & Environmental Sciences, University of L'Aquila, “Giuseppe Mazzini” General Hospital, Teramo, ItalyDepartment of Life, Health, & Environmental Sciences, University of L'Aquila, “Giuseppe Mazzini” General Hospital, Teramo, ItalyDepartment of Life, Health, & Environmental Sciences, University of L'Aquila, “Giuseppe Mazzini” General Hospital, Teramo, ItalyIntroduction. The Propionibacterium acnes and the Staphylococcus cohnii ssp. cohnii are occasional pathogenic bacteria. The intrascrotal localization of the Propionibacterium acnes is exceptional. The Staphylococcus cohnii ssp. cohnii is not able to colonize the urogenital apparatus but it is the most frequently responsible for blood culture contamination even if it can sustain, in particular conditions, systemic infections. Case Presentation. We report the case of a 72-year-old man who is under observation for pain and swelling of the left hemiscrotum associated to high fever. The scrotal ultrasound shows the presence of a left intra-scrotal abscess with didymus, epididymis, and intact didymus-epididymis tunicae. The blood culture executed for evening fever during antibiotic therapy has underlined an infection with Propionibacterium acnes. A following blood culture has shown an increase in Staphylococcus cohnii ssp. cohnii. Due to fever the patient has undergone left orchifunicolectomy with inguino-scrotal toilet. The anatomical pathological examination has also shown the presence of nonspecific granulomatous inflammation compatible with Propionibacterium acnes infection. Conclusion. The onset of an intrascrotal abscess likely sustained by Propionibacterium acnes complicated by a possible systemic Staphylococcus cohnii ssp. cohnii suprainfection is an exceptional event that, in our case, has been resolved with surgical toilet.http://dx.doi.org/10.1155/2012/313694 |
| spellingShingle | Masciovecchio Stefano Alessandro Del Rosso Pietro Saldutto Giuseppe Paradiso Galatioto Carlo Vicentini Intrascrotal Abscess, Propionibacterium acnes and Staphylococcus cohnii ssp. cohnii: A Case Report and Review of the Literature Case Reports in Urology |
| title | Intrascrotal Abscess, Propionibacterium acnes and Staphylococcus cohnii ssp. cohnii: A Case Report and Review of the Literature |
| title_full | Intrascrotal Abscess, Propionibacterium acnes and Staphylococcus cohnii ssp. cohnii: A Case Report and Review of the Literature |
| title_fullStr | Intrascrotal Abscess, Propionibacterium acnes and Staphylococcus cohnii ssp. cohnii: A Case Report and Review of the Literature |
| title_full_unstemmed | Intrascrotal Abscess, Propionibacterium acnes and Staphylococcus cohnii ssp. cohnii: A Case Report and Review of the Literature |
| title_short | Intrascrotal Abscess, Propionibacterium acnes and Staphylococcus cohnii ssp. cohnii: A Case Report and Review of the Literature |
| title_sort | intrascrotal abscess propionibacterium acnes and staphylococcus cohnii ssp cohnii a case report and review of the literature |
| url | http://dx.doi.org/10.1155/2012/313694 |
| work_keys_str_mv | AT masciovecchiostefano intrascrotalabscesspropionibacteriumacnesandstaphylococcuscohniisspcohniiacasereportandreviewoftheliterature AT alessandrodelrosso intrascrotalabscesspropionibacteriumacnesandstaphylococcuscohniisspcohniiacasereportandreviewoftheliterature AT pietrosaldutto intrascrotalabscesspropionibacteriumacnesandstaphylococcuscohniisspcohniiacasereportandreviewoftheliterature AT giuseppeparadisogalatioto intrascrotalabscesspropionibacteriumacnesandstaphylococcuscohniisspcohniiacasereportandreviewoftheliterature AT carlovicentini intrascrotalabscesspropionibacteriumacnesandstaphylococcuscohniisspcohniiacasereportandreviewoftheliterature |