患者男性,68岁。1周前阴囊搔痒,三日后会阴和阴囊肿胀、疼痛,且感全身不适,发热。经县医院“PP水”局部浸泡,肌注青、链霉素后体温下降,但局部肿胀及疼痛加剧,并向阴茎及下腹部扩散,皮肤变紫而转至我院。病人有溃疡病史,无出血史。入院时查体:一般情况差,明 Male patient, 68 years old. Scrotum itch 1 week ago, three days after the swelling of the perineum and scrotum, pain, and feeling unwell, fever. The county hospital “PP water” partial soak, muscle injection of green, streptomycin body temperature drops, but local swelling and pain worse, and the proliferation of the penis and lower abdomen, the skin becomes purple and go to our hospital. Patients with a history of ulcers, no history of bleeding. Physical examination on admission: the general situation is poor, Ming