RESUMEN
OBJECTIVE: To survey young male athletes to determine the self-reported prevalence of sports-related testicular injuries and use of protective equipment among adolescents and young adults. METHODS: A self-administered questionnaire was distributed to male students at local high schools and colleges. Respondents were asked about personal and team member usage of athletic cups and history of testicular injuries. Returned surveys were analyzed for descriptive statistics and compared between high school and college respondents. RESULTS: Approximately 1700 surveys were distributed and 731 returned. The mean age of all respondents was 17.7 years. Across all sports, 18% of athletes experienced a testicular injury during sports and 36.4% observed injuries in team members, whereas only 12.9% of respondents reported wearing athletic cups. The prevalence of testicular injuries for lacrosse, wrestling, baseball, and football was 48.5%, 32.8%, 21%, and 17.8%, respectively. Of athletes reporting a prior injury, 20.1% reported that they wear a cup now. Rates of athletic cup usage were significantly less for college baseball, football, and all respondents compared with their high school counterparts. CONCLUSION: Previously reported rates of testicular injury with sports participation may underestimate the prevalence of these injuries among adolescent and young adult athletes among whom testicular protective equipment is infrequently used.
Asunto(s)
Traumatismos en Atletas/epidemiología , Traumatismos en Atletas/prevención & control , Equipos de Seguridad/estadística & datos numéricos , Encuestas y Cuestionarios , Testículo/lesiones , Prevención de Accidentes/métodos , Adolescente , Distribución por Edad , Estudios Transversales , Estudios de Seguimiento , Humanos , Puntaje de Gravedad del Traumatismo , Masculino , Prevalencia , Medición de Riesgo , Adulto JovenRESUMEN
Polymicrobial bacterial infections are commonly found in cases of Fournier gangrene (FG), although fungal growth may occur occasionally. Solitary fungal organisms causing FG have rarely been reported. The authors describe a case of an elderly man with a history of diabetes who presented with a necrotizing scrotal and perineal soft tissue infection. He underwent emergent surgical debridement with findings of diffuse urethral stricture disease and urinary extravasation requiring suprapubic tube placement. Candida albicans was found to be the single causative organism on culture, and the patient recovered well following antifungal treatment. Fungal infections should be considered as rare causes of necrotizing fasciitis and antifungal treatment considered in at-risk immunodeficient individuals.