title: Penile intracavernosal substance abuse.
abstract: A complete workup for a 36-year-old man with unexplained inguinal adenopathy and an indurated, enlarged penis and scrotum included urine cultures for bacteria, fungi, and acid-fast bacilli; scrotal ultrasound; computed tomography of the abdomen and groin; a retrograde urethrogram; a cystogram; duplex penile Doppler blood flow studies; and a surgical inguinal lymph node dissection. Pathologic examination of the excised lymph node revealed lipoid granulomatous lymphadenitis. After receiving definitive treatment for a psychotic condition, the patient acknowledged a 2-year history of intracavernosal injection of gelatinous vitamin E.
authors.affiliation: Department of Urology, Tulane University Medical Center, New Orleans, Louisiana.
authors.forename: R H
authors.initials: RH
authors.lastname: Steele
authors.forename: A A
authors.initials: AA
authors.lastname: Martin
authors.forename: S C
authors.initials: SC
authors.lastname: Sikka
authors.forename: W J
authors.initials: WJ
authors.lastname: Hellstrom
mesh_terms: D000328:Adult; D006801:Humans; D007267:Injections; D008297:Male; D010409:Penile Diseases / Q000139:chemically induced*; D019966:Substance-Related Disorders / Q000150:complications*; D014810:Vitamin E / Q000008:administration & dosage
chemical_list: D014810:Vitamin E