PDF(Pubmed)
Abstract：
Fournier\'s gangrene is characterized by an acute necrotic infection. The infection can occur in all parts of the body including the scrotum, penis, or perineum, and is a rare condition that is primarily reported in men and seldom in women. Existing literature suggests that it might be underreported, possibly leading to overlooked cases. Risk factors include diabetes, chronic illness, and trauma. This case involves a 52-year-old female with a 10-year medical history of diabetes mellitus, multiple healed skin lesions all over the body, and dermatitis. The presentation was a perianal swelling, which progressed into an extensive necrotizing soft tissue infection of the perineum, making a diagnosis of Fournier\'s gangrene. She underwent wide local debridement and was managed with antibiotics in a timely manner. The patient\'s clinical course and subsequent follow-up were uneventful. Uncontrolled diabetes and dermatitis significantly increase the risk of Fournier\'s gangrene; therefore, it should be suspected in women with such comorbid conditions. This case highlights the need for increased awareness and vigilance regarding this condition among women.
摘要：
Fournier坏疽的特征是急性坏死性感染。感染可以发生在身体的所有部位，包括阴囊，阴茎,或者会阴,这是一种罕见的疾病，主要在男性中报道，很少在女性中报道。现有文献表明，它可能被低估了，可能导致被忽视的案件。危险因素包括糖尿病，慢性病,和创伤。此例涉及一名52岁女性,有10年糖尿病病史,全身多处皮肤损伤愈合,和皮炎。表现是肛周肿胀,进展为会阴广泛的坏死性软组织感染，诊断出Fournier的坏疽.她接受了广泛的局部清创术，并及时接受了抗生素治疗。患者的临床过程和随后的随访顺利。未控制的糖尿病和皮炎显著增加Fournier坏疽的风险;因此,在患有这种合并症的妇女中应该怀疑它。此案突出表明，需要提高妇女对这种情况的认识和警惕。
