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首页> 外文期刊>The journal of sexual medicine >Salmonella infection of a penile prosthesis.
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Salmonella infection of a penile prosthesis.

机译：沙门氏菌感染阴茎假体。

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INTRODUCTION: Patients with erectile dysfunction (ED) who have failed oral or intracavernosal erectogenic therapy may benefit from inflatable penile prosthesis (IPP) placement. Such individuals commonly include patients with diabetes mellitus or chronic renal insufficiency. Complications of IPP placement include erosion and infection. Most often, infection of IPPs involves skin flora that are hypothesized to be introduced at the time of device placement and persist as a biofilm, causing clinical infection as a result of failure of containment by host defense mechanisms. AIM: In this report, we describe a renal transplant patient with a Salmonella infection of an IPP following a diarrheal illness. To our knowledge, this organism has not been implicated in penile prosthesis infection. MAIN OUTCOME MEASURES: The clinical course of, and microbiological data pertinent to, this patient are summarized. Additionally, a limited literature review was undertaken and is here summarized. METHODS: Retrospective review of medical record documentation. RESULTS: This patient was found to have a Salmonella infection of his IPP with ensuing device erosion. Following urgent device removal and culture-specific antibiotic therapy, he was discharged from the hospital at his baseline functional status and renal function. CONCLUSIONS: This is the first report of which we are aware in which Salmonella penile prosthesis infection is described. While this man's immunocompromised status may have made him more vulnerable to device infection, the literature is generally supportive of IPP placement in the transplant population when other modes of ED treatment have failed. Moreover, we postulate a hematogenous mechanism for device seeding in this patient.
机译：引言：口服或海绵体内直立治疗失败的勃起功能障碍（ED）患者可受益于可膨胀的阴茎假体（IPP）放置。这样的个体通常包括患有糖尿病或慢性肾功能不全的患者。 IPP放置的并发症包括侵蚀和感染。最常见的是，IPP的感染涉及皮肤菌群，该菌群被认为是在设备放置时引入的，并以生物膜的形式持续存在，由于宿主防御机制无法遏制而导致临床感染。目的：在本报告中，我们描述了肾移植患者腹泻病后沙门氏菌感染IPP。据我们所知，该生物尚未与阴茎假体感染有关。主要观察指标：总结该患者的临床过程以及与之相关的微生物学数据。此外，进行了有限的文献综述，在此进行了总结。方法：回顾性审查病历文件。结果：发现该患者的IPP出现沙门氏菌感染，随之而来的是设备腐蚀。在紧急拆除器械并进行了针对性的抗生素治疗后，他因基线功能状态和肾功能从医院出院。结论：这是我们所知的第一篇报告，其中描述了沙门氏菌阴茎假体感染。尽管此人的免疫力低下状态可能使他更容易受到设备感染，但当其他方式的ED治疗失败时，文献通常支持在移植人群中放置IPP。此外，我们推测该患者的设备植入的血源性机制。

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