General guidelines for sexually transmitted cases are followed and call for gram stain of urethral smear and culture. Antibiotics commonly used include ceftriaxone, tetracycline, doxycycline, and quinolones. General supportive measures include bed rest, ice pack, pain control, and scrotal elevation. This process refers to a very aggressive fulminating cellulitis and necrotizing fasciitis usually due to mixed infections including staph, strep, gram-negative and anaerobic organisms. Invasive infections of the lower genitourinary tract, colon, rectum, or genital skin are the most common prodromes.
Most patients are adults.
Alcoholism, diabetes mellitus, and immuno-suppression are the most likely underlying risk factor. Necrotizing fasciitis of the male genitalia involves Colles' fascia, dartos fascia, and the adjacent subcutaneous fat and spreads along superficial fascial planes. Symptoms consist of the acute onset of painful swelling of the penis or scrotum, fever, chills, and malaise. Painful induration, swelling, edema, blistering, and desquamation are noted. Palpable crepitus is usually very notable.