title: Priapism as the Presenting Complaint in Fatal Group A Streptococcal Induced Disseminated Intravascular Coagulation.
abstract: A 60-year-old male presented to an emergency department (ED) with priapism following a sore throat illness. He did not have typical findings of sepsis. The patient then developed severe headache, mental status changes, and hypertension, then suffered a cardiopulmonary arrest. Autopsy showed group A streptococcal (GAS) sepsis, disseminated intravascular coagulation (DIC), and a septic thrombosis to the penile vein. This is the first known case of priapism being the presenting symptom of DIC.
authors.affiliation: *Department of Surgery,University of Calgary,Calgary,AB.
authors.forename: Richard J
authors.initials: RJ
authors.lastname: Baverstock
authors.affiliation: †Department of Emergency Medicine,University of Calgary,Calgary,AB.
authors.forename: Colleen
authors.initials: C
authors.lastname: Carey
mesh_terms: D004211:Disseminated Intravascular Coagulation / Q000382:microbiology*; D017809:Fatal Outcome; D006801:Humans; D008297:Male; D008875:Middle Aged; D010413:Penis / Q000098:blood supply; D011317:Priapism / Q000209:etiology*; D018805:Sepsis / Q000382:microbiology*; D013290:Streptococcal Infections / Q000150:complications*; D013297:Streptococcus pyogenes; D013927:Thrombosis / Q000382:microbiology*
keywords: DIC; Group A Streptococcus; priapism