Fournier ’ s gangrene Fournierova gangrena
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چکیده
Background. Fournier’s gangrene (FG) represents a necrotizing infection of the skin and subcutaneous soft tissue of the external genitalia and perineum. It arises as a result of propagation of anorectal, urogenital and skin infections. The principles of treatment include improving general condition of a patient, debridement of wound, excision of necrotic tissue, combined antibiotic therapy, hyperbaric oxygen therapy and reconstructive procedures. It is a rare but very serious condition which regardless to aggressive treatment can lead to a lethal outcome in up to 20−30% of patients. Case report. Since the year 2000 we have treated six patients with FG. We presented the course and positive treatment outcome in a 65year-old male patient with numerous comorbid conditions, nonregulated insulin-dependent diabetes, hypertension, previous myocardial infarction, chronic viral hepatitis and thrombocytopenia, rehabilitation was complicated with heart failure, atrial fibrillation and pulmonary thromboembolism. The treatment consisted of two extensive debridement of the wound with removing necrotic tissue, drainage, consolidation of state of health, correction of his blood sugar levels and thrombocytopenia, antimycotic and combination of three antibiotics and hyperbaric oxygen therapy. In two delayed surgical procedures reconstruction of a large defect of the urethra was performed. Conclusion. A patient with numerous and serious comorbid conditions with FG could recover as a result of teamwork of urologists, infective medicine specialists, cardiologists, endocrinologist, vascular and plastic surgeons.
منابع مشابه
Fournier,s gangrene in children:report of two cases
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متن کامل4 Fournier ’ s Gangrene
Fournier’s gangrene (FG) is an acute, rapidly progressive and potentially fatal, infective necrotizing fasciitis affecting the external genitalia, perineal or perianal regions1. The definition of FG changed more often than the treatment over the years. Professor JeanAlfred Fournier (1832-1914), first defined FG as an ‘acute idiopathic gangrene of the scrotum in the young male2. The frequent iso...
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BACKGROUND AND OBJECTIVES Fournier gangrene is a urological emergency associated with a high mortality. It is a necrotizing fasciitis caused by polymicrobial infection originating in the anorectal or genitourinary area. The aim of this study was to analyze the epidemiological and clinical characteristics of Fournier gangrene along with the variables that influence disease course and mortality i...
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Sir, Fournier ’s gangrene is an uncommon rapidly progressive polymicrobial (aerobes and anaerobes) infection of the genital, perineal and perianal region, 4] resulting in necrotizing fasciitis, due to endarteritis of scrotal vessels and gangrene of the scrotum. It can involve contiguous areas like the lower urinary tract, anus, rectum and colon. The course of disease is rapid and the disease ca...
متن کاملFournier gangrene
Fournier gangrene is a rapidly progressive necrotizing infection of the perineal and genital fascia, often polymicrobial. Severity is increased in older patients, diabetics and the immunocompromised. As in this case, the disease can have an indolent onset. Early recognition and aggressive treatment is important.
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تاریخ انتشار 2008