Τίτλος:
Fournier's gangrene: Still highly lethal
Γλώσσες Τεκμηρίου:
Αγγλικά
Περίληψη:
Five patients with necrotizing soft tissue infections of the perineum
and scrotum are presented. There were one female and four male patients,
aged from 35 to 70 years. Portals of entry were perirectal abscesses in
four cases and a scrotal abscess in one case. All patients required
extensive surgical debridement and intravenous broad-spectrum
antibiotics. Operative debridement involved the scrotum, the perineal
and inguinal area, the upper thighs and the anterior abdominal wall. One
patient required transverse loop colostomy and one loop sigmoidostomy.
One patient was reoperated on after inadequate drainage of a perirectal
abscess. Three patients were referred to our unit after some delay,
while one patient did not seek medical care until after being febrile
for 2 weeks. Despite aggressive debridement, this last patient died of
fulminant sepsis. Fournier’s gangrene, which is not so rare as in
generally considered, is still associated with a high mortality, which
can be reduced only by improving medical awareness and early treatment
both of the primary cause and of necrotizing fasciitis.
Συγγραφείς:
Papachristodoulou, AJ
Zografos, GN
Papastratis, G and
Papavassiliou, V
Markopoulos, CJ
Mandrekas, D
Gogas, JG
Περιοδικό:
LANGENBECKS ARCHIV FUR CHIRURGIE
Λέξεις-κλειδιά:
Fournier’s gangrene; fasciitis; soft tissue infection; cellulitis
DOI:
10.1007/s004230050015
