%0 Case Reports
%T Fournier's gangrene as a rare complication in patient with uncontrolled type 2 diabetes treated with surgical debridement: A case report and literature review.
%A Provenzano D
%A Lo Bianco S
%A Zanghì M
%A Campione A
%A Vecchio R
%A Zanghì G
%J Int J Surg Case Rep
%V 79
%N 0
%D Feb 2021
%M 33757263
暂无%R 10.1016/j.ijscr.2021.01.098
%X <B>BACKGROUND: </B>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.<BR><B>METHODS: </B>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.<BR><B>CONCLUSIONS: </B>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.<BR><B>CONCLUSIONS: </B>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.