2021, Number 2
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Rev Cub de Med Fis y Rehab 2021; 13 (2)
Rehabilitation treatment in a patient with Fournier´s gangrene
Sabater HH, Almanza DY, Berbes VL
Language: Spanish
References: 14
Page: 1-16
PDF size: 630.97 Kb.
ABSTRACT
Fournier's gangrene is a rare disease characterized by necrotizing fasciitis of the genital perineal region. Antibiotic therapy, debridement of necrotic tissue and tissue repair are pillars of treatment without including the specialist in Physical Medicine and Rehabilitation in the interdisciplinary team. The objective of this article is to support the intervention and management of the Rehabilitation Medicine specialty in this disease and its impact on a difficult-to-manage patient, treated at Delfina Torres de Concha Hospital del Sur. Exercises and lasers were applied. He was discharged at 14 sessions with great tissue granulation, absolute closure of the scrotal area and partial closure of the perineal, perianal and intergluteal areas in the resolution phase. This meant a saving of $ 5,629 for the Ministry of Health. The integration of the specialist in Physical Medicine and Rehabilitation in the interdisciplinary team determined a favorable evolution in this patient.
REFERENCES
Rojas C, Bernal J. Gangrena de Fournier: experiencia en el Hospital Barros Luco. Rev. Chilena de Urología. 2010 [acceso 19/04/2019];75(3-4):197-202. Disponible en:https://www.revistachilenadeurologia.cl/urolchi/wp-content/uploads/2015/12/02_gangrena_de_fournier.pdf
Vargas T, Mora SA, Zeledón AS. Gangrena de Fournier: generalidades. Revista Médica Sinergia. 2019;4(6):100-07. doi:https://doi.org/10.31434/rms.v4i6.217
Romero Cabello R, Gracida Mancilla N, Romero Feregrino R, Romero Feregrino R. A case report of a woman with Fournier’s gangrene and morbid obesity. Rev Latinoam Patol Clin Med Lab. 2016 [acceso 19/07/2019];63(2):82-86. Disponible en:https://www.medigraphic.com/pdfs/patol/pt-2016/pt162e.pdf
Ferrer Y, Morejón Y. Fascitis necrosante. Actualización del tema. Medisur. 2018 [acceso 20/07/2019];16(6):920-929. Disponible en: http://scielo.sld.cu/pdf/ms/v16n6/ms15616.pdf
Barquero M. Las bases la gangrena de Fournier. Revista Médica de Costa Rica y Centroamérica. 2016 [acceso 23/07/2019];73(619):343-346. Disponible en: https://www.binasss.sa.cr/revistas/rmcc/619/art25.pdf
Friederichs J, Torka, S, Militz M, Bühren V, Hambriento S. Necrotizing Soft Tissue Infections after Injection Therapy: Higher Mortality and Worse Outcome Compared to other Entry Mechanisms. Rev. Journal of Infection. 2015;71(3):312-316.
Crespo S, Pérez R, Domínguez C, Carrera M, Gutiérrez I, Montaña C. Gangrena de Fournier. 2017 [acceso 23/07/2019]. Disponible en: http://www.semg.es/sanse2017/dmdocuments/gangrena-de-fournier.pdf
Hakkarainen T, Burkette Ikebata N, Bulger E, Evans H. Moving beyond survival as a measure of success: understanding the patient experience of necrotizing soft-tissue infections. Rev. Journal of Surgical Investigación. 2014;192(1):143-149.
Castillo F, Moraga J, Pérez P, Álvarez C, Iglesias A. Diagnóstico y manejo precoz de la gangrena de Fournier. Rev Chil Cir. 2015 [acceso 23/07/2019];67(2):181-184. Disponible en:https://scielo.conicyt.cl/pdf/rchcir/v67n2/art11.pdf
Camargo L, García HA. Gangrena de Fournier: revisión de factores determinantes de mortalidad. Revista Chilena de Cirugía. 2016;68(3):273-7.
Departamento de Estadísticas del Hospital del Sur “Delfina Torres de Concha”. Base de datos del 2014-2019.
Benítez Y, Sagó J, Pupo A, Fernández M, Infante EA. Presentación de un paciente con Gangrena de Fournier. Correo Científico Médico de Holguín. 2015 [acceso 23/07/2019];19(3):556-64. Disponible en: http://scielo.sld.cu/pdf/ccm/v19n3/ccm20315.pdf
Soto A. Gangrena de Fournier por Streptococcus anginosus, un agente etiológico poco habitual. Revista de Gastroenterología de México. 2018;83(3):348-350.
Laínez S, Meléndez E, Sebastián L. Gangrena de Fournier. Revisión bibliográfica. Revista Electrónica de PortalesMedicos.com. 2018 [acceso 23/07/2019]. Disponible en:https://www.revista-portalesmedicos.com/revista-medica/gangrena-de-fournier-revision-bibliografica/