PMC9876726_01
Gross appearance of the penis.
1349-7235-62-0135-g001.jpg
PMC9876726_01_1349-7235-62-0135-g001.jpg
g001
Three hours after admission, blackish changes were observed on the entire penis and scrotum (Fig. 1).
Clinical course after admission. CHDF: continuous hemodiafiltration, MEPM: meropenem, NAD: noradrenaline, VAP: vasopressin, VCM: vancomycin
1349-7235-62-0135-g002.jpg
PMC9876726_01_1349-7235-62-0135-g002.jpg
g002
However, metabolic acidosis and hyperkalemia progressed, and the patient died 12 h after admission (Fig. 2).
Pathological findings of the penis. (A1), (A2) Septic emboli associated with Gram-positive Streptococcus. Both Gram stain (original magnification x200). (B1), (B2) Calcium deposition in small arteries (original magnification x100). (B1) Hematoxylin and Eosin staining. (B2) Von Kossa stain.
1349-7235-62-0135-g003.jpg
PMC9876726_01_1349-7235-62-0135-g003.jpg
g003
Calcified lesions and numerous infected thrombi were found in the subcutaneous tissue of the penis, scrotum, and arterioles in the muscular layer of the bladder wall (Fig. 3).