Fournier’s gangrene
نویسندگان
چکیده
An 80-year-old diabetic man (type 2) with detrusor underactivity treated by long-term urethral catheterization attended the emergency department with a 4-day history of scrotal swelling and pain and an associated offensive discharge. Physical examination revealed a grossly swollen right hemi-scrotum with gangrene. Crepitus and erythema were noted over the discolored area, extending into the right groin. The diagnosis of Fournier’s gangrene was made, and an intravenous cephalosporin and metronidazole were administered before proceeding to emergency partial scrotectomy. Operation revealed a 4×6-cm patch of gangrenous scrotal skin with inflammation of the right groin and suprapubic area. Pockets of purulent material extending from the scrotal wall to the inguinal canal were drained. The right testis was placed in the adductor canal. Morganella morganii and Peptostreptococcus spp. were cultured from the wound. He was treated with intravenous meropenem and subsequently improved. He was discharged home after 21 days (Fig. 1).
منابع مشابه
Fournier’s Gangrene: Diagnostic and Therapeutic Considerations
Fournier’s gangrene is a necrotising fasciitis of the genitalia. Jean Alfred Fournier (18321914) was the first French syphilologist, the first professor of cutaneous and syphilitic diseases at the Paris Faculty of Medicine, and the most prominent European venereologist of the second half of the 19th century. He first described idiopathic, rapily progressive necrotizing gangrene of the male geni...
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Fournier’s gangrene is an uncommon form of necrotizing fasciitis in children. It needs prompt diagnosis and treatment to avoid the high morbidity and mortality. In the present study we are reporting a 3 months old infant with Fournier’s gangrene predisposed by diaper rash due to poor hygiene. The infant was treated by debridement and primary repair with a good outcome.
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Objective: Necrotizing fasciitis of the perinea, referred to as Fournier’s gangrene, is a necrotizing infection of the perinea. To the best of our knowledge, there is no report on the Fournier’s gangrene following an ant bite and this is a rare case report of this type.Case Presentation: In this rare case report we describe a 20-year-old man who developed Fournier’s gangrene following an ...
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Fournier’s gangrene (FG) is a fulminant and life-threatening disease characterized by necrotizing fascitis of the perineal and genitourinary area resulting from polymicrobial infection. The polymicrobial organisms cause ascending reactions, activating various proteins and enzymes, leading to platelet aggregation, intravascular coagulation, tissue ischemic tissue change. This disease rapidly pro...
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Fournier’s gangrene is a life-threatening soft-tissue infection of the perineum requiring radical soft-tissue debridement and antibiotic therapy. We report a 24-year follow-up of a patient with Fournier’s gangrene treated with subcutaneous unilateral testicle implantation following contralateral orchiectomy and radical debridement. Hormonal testicular function was preserved despite the subcutan...
متن کاملRe: Simplified Fournier's gangrene severe index score (SFGSI)
We read the publication on “Risk factors for mortality in Fournier’s gangrene in a general hospital: use of simplified Fournier’s gangrene severe index score (SFGSI)” with great interest (1). Tenório et al. concluded that “The main advantage is easy applicability because it contains only three parameters and can be used immediately after patient’s admission” (1). Indeed, as noted by Yeniyol et ...
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