2023, Number 3
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Acta Med 2023; 21 (3)
Fournier´s gangrene
Aceves QCA, Villanueva SE, Taracena PS
Language: Spanish
References: 5
Page: 268-269
PDF size: 123.87 Kb.
ABSTRACT
Introduction: Fournier's gangrene is a polymicrobial necrotizing fasciitis of proctologic origin, with up to 50% mortality rates.
Clinical case: a 70-year-old male presents with scrotal pain and enlargement. On admission in shock, resuscitation was started, and antibiotic therapy and surgical debridement were initiated.
Conclusion: it is essential to have a high index of suspicion to make the diagnosis and initiate medical and surgical treatment to improve the patient's prognosis, requiring an average of 3.5 debridements per patient.
REFERENCES
Villanueva-Sáenz E, Martínez Hernández-Magro P, Valdés Ovalle M, Montes Vega J, Alvarez-Tostado JF. Experience in management of Fournier's gangrene. Tech Coloproctol. 2002; 6 (1): 5-10; discussion 11-13.
Stevens D, Baddour L. UpToDate [Internet]. uptodate.com. 2020. Available in: https://www.uptodate.com/contents/necrotizing-soft-tissue-infections?search=fournier%27s%20gangrene&topicRef=6873&source=see_link#H2533911134
Inácio MF, Lima RP, Neto SR, Lopes FA, Pantaroto M, de Sousa AV. Epidemiological study on Fournier syndrome in a tertiary hospital in Jundiaí-SP from October 2016 to October 2018. J Coloproctology. 2020; 40 (1): 37-42.
Singh A, Ahmed K, Aydin A, Khan MS, Dasgupta P. Fournier's gangrene. A clinical review. Arch Ital Urol Androl. 2016; 88 (3): 157-164.
Yilmazlar T, Gulcu B, Isik O, Ozturk E. Microbiological aspects of Fournier's gangrene. Int J Surg. 2017; 40: 135-138.