Pediatric priapism associated with Mycoplasma pneumoniae
| Autor: | Robert S. Charles, Steven J. Hirshberg, Jeffrey B. Ettinger |
|---|---|
| Rok vydání: | 1996 |
| Předmět: |
Male
Mycoplasma pneumoniae Pediatrics medicine.medical_specialty Urology Priapism Mycoplasmataceae urologic and male genital diseases medicine.disease_cause medicine Coagulopathy Humans Mycoplasma Infections Child biology business.industry Respiratory disease biology.organism_classification medicine.disease Surgery medicine.anatomical_structure Viral disease business Complication Penis |
| Zdroj: | Urology. 47:745-746 |
| ISSN: | 0090-4295 |
| DOI: | 10.1016/s0090-4295(96)00029-5 |
| Popis: | Objectives. Priapism in the pediatric population is rare and most commonly occurs secondary to sickle cell disease or hematologic malignancy. We present a case of a 12-year-old boy with priapism who required aggressive surgical therapy for adequate detumescence. This patient had a recent viral upper respiratory infection and titers for Mycoplasma pneumoniae were indicative of infection. We propose that a hypercoagulable state was induced by the M. pneumoniae infection, which resulted in the priapism. Methods. A 12-year-old boy with a recent upper respiratory illness presented to his pediatrician with priapism. After failing conservative management, the patient ultimately required a surgical shunt for detumescence. Serum was sent to detect antibodies against M. pneumoniae . Results. The child failed to respond to corporeal irrigations and bilateral Winter shunts. He underwent an El-Ghorab procedure the following morning, which resulted in a flaccid penis. Serum M. pneumoniae antibodies were detected and indicated moderate infection. Conclusions. We propose that this 12-year-old boy had priapism secondary to infection with M. pneumoniae. M. pneumoniae infection can produce a hypercoagulable state, especially in selected areas of the circulation. This is the first reported case of priapism associated with M. pneumoniae . |
| Databáze: | OpenAIRE |
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