Thursday, March 6, 2008

Scrotum infection diagnosis and differential diagnosis

Scrotum mainly due to bacterial infection secondary to the scrotum mechanical, chemical and high-temperature injury, inflammation around the urethra, urinary extravasation, diabetes, systemic failure and pathological factors caused. Clinical bacterial infection often non-specific, such as Staphylococcus aureus, Pseudomonas aeruginosa, Streptococcus Anaerobic; There Mycobacterium tuberculosis infection.
A, non-specific infection scrotum
[Diagnosis]
1. Have caused the infection of the scrotum history.
2. Obviously scrotal pain symptoms, chills, fever, nausea, vomiting: general weakness, and even psychiatric symptoms.
3. Check scrotal swelling, hard, or fluctuations flu, blisters, severe cases can occur Rupture scrotal skin necrosis outflow discharge or scrotum and testes and spermatic cord exposed. (W reproductive medical treatment guidelines net ww.91zn.cn. your intimate friends)
4. Wound cultures can collect septic bacteria. Visibility checks blood neutrophils increased significantly.
2, scrotum tuberculosis
[Diagnosis]
1. Have systemic activity in the history of tuberculosis.
2. No more pain symptoms. Even the scrotum can catch flu or not.
3. Check scrotal swelling; Vasectomy was rosary of; Epididymis increased, and scrotum and adhesion, or abscess formation of secondary infection, a local red, swollen, hot and painful. Rupture can sinus abscess formation, long-term healing.
4. Local exudate of the scrotum or animal vaccine detection of Mycobacterium tuberculosis.
5. Local scrotal skin tissue examination can be found in tuberculosis nodules and cheese necrosis characteristics of the changes.
[Diagnosis]
The incidence of syphilis scrotal skin of the scrotum in eczema, and, papules, ulcers, no pain. But syphilitic ulcer is a typical rubber-like gum-like swelling, skin Organization for dark field inspection exudate can be found Treponema pallidum, the syphilis serum test, there will be positive.

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