XXXX due to @entity6615 .

@entity1 @entity2176 @entity868 @entity39 @entity7120 @entity158 @entity3400 @entity869 @entity6615 @entity811 @entity5899 @entity3402
A 49-year-old male presented to the emergency with @entity811 and @entity158 in the shaft of the penis for one day. The @entity1 was found to be in a state of shock. The shaft of the penis and the scrotum were swollen and tender. No @entity39 was observed and no crepitus was palpable. Serum white count (WBC) was 29.5 * 10(3)/ L. A CT scan showed gas in the corpus spongiosum. Antibiotics were started with IV @entity868 , @entity2176 , and @entity3400 / @entity7120 . @entity868 was then replaced by @entity3402 . Exploration was performed but no @entity39 tissue was identified. Cystourethroscopy revealed dusky looking urethra. A suprapubic tube and a urethral catheter were placed in the bladder. WBC trended down to 13.9 * 10(3)/ L on the fourth postoperative day. Urine culture grew @entity6615 and blood cultures grew Alpha Hemolytic Streptococcus. On the sixth day, the @entity1 was feeling worse and WBC increased. MRI revealed absent blood flow to the corpus spongiosum. Urethroscopy revealed @entity39 of the urethra. Urethrectomy was performed via perineal approach. The @entity1 immediately improved. The @entity1 was discharged on the sixth postoperative day to continue @entity869 / @entity5899 IV every 6 hours for a total of 4 weeks from the day of urethrectomy.
