关键词: Case report Colostomy Fournier’s gangrene Surgical debridement Type 2 diabetes

来  源:   DOI:10.1016/j.ijscr.2021.01.098   PDF(Sci-hub)   PDF(Pubmed)

Abstract:
BACKGROUND: Fournier\'s gangrene is a potentially fatal emergency condition, supported by an infection of perineal and perianal region, characterized by necrotizing fasciitis with a rapid spread to fascial planes. FG, usually due to compromised host, may be sustained by many microbial pathogens.
METHODS: A 66-year-old man, with a history of uncontrolled type 2 diabetes, obesity with BMI 38, chronic kidney failure and chronic heart failure, was admitted to the Emergency Department with a large area of necrosis involving the perineal and perianal regions.
CONCLUSIONS: Fournier\'s gangrene is favoured by hypertension, obesity, chronic alcoholism, renal and heart failure. Generally, Fournier\'s gangrene needs other procedures in addition to wound debridement such as colostomy, cystostomy, or orchiectomy.
CONCLUSIONS: We report a case of FG found as complication in a patient with uncontrolled type 2 diabetes, treated with effective combination therapy with surgical debridement and antibiotics infusion.
摘要:
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