2013, Number 606
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Rev Med Cos Cen 2013; 70 (606)
Gangrena de fournier
Trejos MS, Torrealba AM
Language: Spanish
References: 28
Page: 351-357
PDF size: 211.79 Kb.
ABSTRACT
Fourniers Gangrene is a
type of necotizing fasceitis
that produces fulminating
destruction of tissue, systemic
symptoms of toxicity and a high
mortality rate.
It must be suspected in
patients with fever, toxicity,
soft tissue compromise, and
umproportional pain to the
findings on skin.
The diagnosis and proper
treament should include early
surgical intervention and
repetitive surgical debridement
to determine the extention
of the disease and remove
necrotic tissues, antibiotics and
hemodinamic support.
Empiric antibiotics should
cover aerobic and anaerobic
microorganisms.
REFERENCES
Aebi, C, Ahmed, A, Ramilo,O. Bacterial complications of primary varicella in children. Clin Infect Dis 1996; 23:698.
Anaya, DA, Patchen Dellinger, E. Necrotizing soft-tissue infection: diagnosis and management. Clin Infect Dis 2007; 44:705.
Bejarga BE: Fournier‘s gangrene. Br J Urol 1979;51:312
Butterworth, SA, Murphy, JJ. Necrotizing soft tissue infections--are they different in healthy vs immunocompromised children?. J Pediatr Surg 2006; 41:935.
Campbell –Walsh Urology 9º Edition, 2007.
Carmin M. Kalorin, Ellis H. Tobin: Community Associated Methicillin Resistant Staphylococcus Aureus Causing Fournier‘s Gangrene and Genital Infections. J Urol. Vol. 177, Issue 3, Pag. 967-971, March 2007.
Chelsom, J, Halstensen, A, Haga, T, Hoiby, EA. Necrotising fasciitis due to group A streptococci in western Norway: incidence and clinical features. Lancet 1994; 344:1111.
Erich K. Lang, Amer Hanano, Ernest Rudman: Computarized Tomography of Gangrene. J Urol. Vol. 183, Issue 2, Pag. 740, February 2010.
Fournier JA: Etude clinique de la gangrene-foudroyante de la verge. Semin Med 1884;4:69.
Fournier JA: Gangrene-foudroyante de la verge. Semin Med 1883;3:345.
Jamil Rehman, Ayal Kaynan, David Samadi: Air on Radiography of Perineal Necrotizing Fasciitis Indicates Testis Involvement. J Urol. Vol. 162, Issue 6, Pag. 2101, December 1999.
Laucks, SS 2nd. Fournier’s gangrene. Surg Clin North Am 1994; 74:1339.
M. Capelli-Schelpfeffer, Glenn S. Gerber: The Use of Hyperbaric Oxigen in Urology. J Urol. Vol. 162, Issue 3, Pag. 647-654, September 1999.
Mathew D. Sorense, John N Krieger, Frederick P. Rivana: Fournier‘s Gangrene: Population Based Epidemiology and Outcomes. J Urol. Vol. 181, Issue 5, Pag. 2120-2126, May 2009.
Miller, LG, Perdreau-Remington, F, Rieg, G, et al. Necrotizing fasciitis caused by community-associated methicillin-resistant Staphylococcus aureus in Los Angeles. N Engl J Med 2005; 352:1445.
R Pizzorno, F Bonini, A Donelli: Hyperbaric Oxigen Therapy in the Treatment of Fournire‘s Disease in 11 Male Patients. J Urol. Vol. 158, Issue 3, Pag. 837-840, September 1997.
Schmid, MR, Kossmann, T, Duewell, S. Differentiation of necrotizing fasciitis and cellulitis using MR imaging. AJR Am J Roentgenol 1998; 170:615.
Simonart, T, Simonart, JM, Derdelinckx, I, et al. Value of standard laboratory tests for the early recognition of group A beta-hemolytic streptococcal necrotizing fasciitis. Clin Infect Dis 2001; 32:E9.
Stephens, BJ, Lathrop, JC, Rice, WT, Gruenberg, JC. Fournier’s gangrene: Historic (1764-1978) versus contemporary (1979-1988) differences in etiology and clinical importance. Am Surg 1993; 59:149.
Steven R. Mindrup, G. Patrick Kealey, Bernard Fallon: Hyperbaric Oxigen for the Treatment of Fournire‘s Gangrene. J Urol. Vol. 173, Issue 6, Pag. 1975-1977, June 2005.
Stevens, DL, Tanner, MH, Winship, J, et al. Severe group A streptococcal infections associated with a toxic shocklike syndrome and scarlet fever toxin A. N Engl J Med 1989; 321:1.
Stevens, DL. Streptococcal toxic shock syndrome: Spectrum of disease, pathogenesis and new concepts in treatment. Emerg Infect Dis 1995; 1:69.
Sudarsky, LA, Laschinger, JC, Coppa, GF, Spencer, FC. Improved results from a standardized approach in treating patients with necrotizing fasciitis. Ann Surg 1987; 206:661.
Wolach MD, MacDermott JP, DeVere White RW: Treatment and complications of Fournier‘s gangrene. Br J Urol 1989;64:310
Wong, CH, Chang, HC, Pasupathy, S, et al. Necrotizing fasciitis: clinical presentation, microbiology, and determinants of mortality. J Bone Joint Surg Am 2003; 85-A:1454.
Wong, CH, Khin, LW, Heng, KS, et al. The LRINEC (Laboratory Risk Indicator for Necrotizing Fasciitis) score: a tool for distinguishing necrotizing fasciitis from other soft tissue infections. Crit Care Med 2004; 32:1535
Yeniyol, CO, Suelozgen, T, Arslan, M, Ayder, AR. Fournier’s gangrene: experience with 25 patients and use of Fournier’s gangrene severity index score. Urology 2004; 64:218.
Zacharias, N, Velmahos, GC, Salama, A, et al. Diagnosis of necrotizing soft tissue infections by computed tomography. Arch Surg 2010; 145:452.