Unusual presentation of necrotizing fasciitis in a patient who had achieved long-term remission after irradiation for testicular cancer.
We report a case of a 60-year-old man with necrotizing fasciitis complicated by streptococcal toxic shock syndrome. The patient had received high-dose chemotherapy and radiotherapy to the pelvis for relapsed seminoma 7 years previously. He had been in long-term remission. He was admitted to the Tsukuba University Hospital, Tsukuba-City, Ibaraki, Japan, with complaints of fever and localized erythema over the foreskin. The patient suffered from septic shock and multiple organ failure. Despite intensive care, he died 18 h after admission. Streptococcus pyogenes was isolated from both the wound and blood culture. To our knowledge, this is the first description of necrotizing fasciitis primarily affecting the penile skin.
Miyagawa
Tomoaki
T
Department of Urology, Institute of Clinical Medicine, University of Tsukuba, Tsukuba-City, Ibaraki, Japan. tomoaki.miyagawa@ibabyo.hitachi.co.jp
Kawai
Koji
K
Onozawa
Mizuki
M
Hattori
Kazunori
K
Shimazui
Toru
T
Akaza
Hideyuki
H
D000970:Antineoplastic Agents / Q000627:therapeutic use; D019115:Fasciitis, Necrotizing / Q000209:etiology*; D017809:Fatal Outcome; D006801:Humans; D008297:Male; D008875:Middle Aged; D009102:Multiple Organ Failure / Q000209:etiology; D011878:Radiotherapy; D012074:Remission Induction; D018239:Seminoma / Q000628:therapy*; D012772:Shock, Septic / Q000209:etiology; D013290:Streptococcal Infections / Q000150:complications*; D013297:Streptococcus pyogenes; D013736:Testicular Neoplasms / Q000628:therapy*
D000970:Antineoplastic Agents