RESUMO
Metastic carcinoma of the penis is uncommon. The primary tumour is most commonly reported to be in the genitourinary or gastrointestinal tract. A case of metastatic carcinoma of the penis, secondary to a primary carcinoma of the prostate gland, is described (AU)
Assuntos
Relatos de Casos , Idoso , Humanos , Masculino , Neoplasias Penianas/secundário , Neoplasias da Próstata/patologia , Adenocarcinoma/patologia , PrognósticoRESUMO
Empirical antibiotic treatment for hand infections is changing to single antibiotic therapy against Staphylococcus aureus in immunocompetent patients. Fifty-one patients treated surgically for hand infections were reviewed to assess the nature of infection in terms of site, organism, mechanism of injury, and antibiotic sensitivity of organisms. Twenty-three percent of patients had diabetes mellitus and were noted to be older than non-diabetics. Eighty-four percent of non-diabetic patients had single organism infections, 59 percent involving S aureus. Fifty percent of diabetic patients had multi-organism infection caused by gram positive and gram negative organisms. Patients stuck with a piece of wood also had multi-organism infections. Double antiobiotic therapy is therefore advocated for patients with diabetes mellitus and all patients who had hand infections as a result of being stuck with a piece of wood. All others should have single antibiotic therapy with amoxycillin and clavulanic acid. (AU)
