Urogenital Tract Infection

Hyung Jin Kim

4 Articles

Urosepsis: Management and Prevention: Myung Ki Kim, Hyung Jin Kim; Korean J Urogenit Tract Infect Inflamm 2009;4(2):170-176. Published online October 31, 2009

Abstract PDF: "The urogenital tract is the source of sepsis in 25% of all cases, mostly as a consequence of acute pyelonephritis, obstructive urolithiasis or renal abscess. Urosepsis is associated with a considerably high mortality rate of 20∼42%, especially in elderly patients, diabetics, and those under immunosuppression. Septic shock and multiorgan failure are the most common causes of death in affected individuals. Patients with urosepsis should be diagnosed at an early stage, especially in the case of a complicated urinary tract infection. Early tissue oxygenation, appropriate initial antibiotic therapy and rapid identification and control of the septic focus in the urinary tract are critical steps in the successful management of a patient with severe urosepsis. Urosepsis can due to both community- or nosocomial-acquired infections. Most nosocomial urosepsis can be avoided by measures used to prevent nosocomial infection such as reduction of hospital stay, early removal of indwelling urethral catheters, avoidance of unnecessary urethral catheterizations, correct use of closed catheter systems and attention to simple daily asepsis techniques in order to avoid crossinfection."

Perivesical Abscess Following Transurethral Resection of Bladder Tumor and BCG Intravesical Instillation in Non-muscle Invasive Bladder Tumor Patient: Sang Deuk Kim, Young Beom Jeong, Hyung Jin Kim; Korean J Urogenit Tract Infect Inflamm 2009;4(1):96-99. Published online April 30, 2009

Abstract: There are few reports of serious complications secondary to BCG intravesical instillation such as extravasation, perivesical inflammation. We report a case of perivesical abscess developed by transurethral resection of bladder tumor and BCG intravesical instillation.

Testicular Abscess Secondary to Acute Epididymo-orchitis: Jeong Seon Park, Young Beom Jeong, Jong Kwan Park, Hyung Jin Kim, Young Gon Kim, Young Kyung Park; Korean J Urogenit Tract Infect Inflamm 2007;2(1):88-91. Published online May 31, 2007

Abstract PDF: Testicular abscess is very rare and usually resulted from severe epididymo-orchitis. The most common pathogens are Chlamydia trachomatis, Neisseria gonorrhoeae, and Escherichia coli. The inflammation usually starts in male genitourinary tract and spreads to testis. The testis is enlarged, yellow-white and may show abscess formation. The microscopic findings of testicular abscess demonstrated predominent inflammatory cells (neutrophils) in the interstitium and seminiferous tubules. The patient with testicular abscess usually present with fever, dysuria, and a painful scrotal enlargement. Physical examination may not be possible due to pain and swelling, making it difficult to evaluate the real extent of the lesion. In these patients, doppler US findings are useful. We report a case of testicular abscess secondary to acute epididymo-orchitis.

Penile Abscess due to Condom Catheterization: Kyung Soo Choi, Young Beom Jeong, Jong Kwan Park, Hyung Jin Kim, Young Gon Kim, Young Kyung Park; Korean J Urogenit Tract Infect Inflamm 2007;2(1):100-102. Published online May 31, 2007

Abstract PDF: Penile abscess is very rare. The pathogens are Neisseria gonorrhoeae, Tuberculosis, Staphylococcus aureus, etc. The penis is enlarged, yellow-white and may show abscess formation. The microscopic findings of penile abscess is that neutrophils are the predominant inflammatory cells and are present in the interstitium. The patient with penile abscess may present with fever, dysuria, and a painful penile enlargement. Physical examination may be possible even though there is pain and swelling, not making it difficult to evaluate the real extent of the lesion. To diagnose, doppler US findings are useful. We report a case of penile abscess due to the use of condom catheter.

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