scholarly journals Fournier’s gangrene mimicking an acute epididymitis

2021 ◽  
Vol 9 ◽  
pp. 2050313X2110592
Author(s):  
Kalee Larsen ◽  
Amy Paige ◽  
Monica Mutyala ◽  
Benjamin Weber ◽  
Jihad Slim
Keyword(s):  
Fournier’S Gangrene ◽  
Fournier's Gangrene ◽  
Necrotizing Soft Tissue Infection ◽  
Ultrasound Computed Tomography ◽  
High Clinical Suspicion ◽  
Uncontrolled Diabetes ◽  
Immunocompromised State ◽  
Acute Epididymitis ◽  
Systemic Symptoms ◽  
Early Surgical Intervention

Fournier’s gangrene is a urologic emergency secondary to a necrotizing soft tissue infection. Fournier’s gangrene is characterized by severe pain and features of Fournier’s gangrene may include edema, blisters and bullae, crepitus, subcutaneous gas, and systemic symptoms. Risk factors include male gender, alcohol abuse, immunocompromised state, uncontrolled diabetes mellitus, obesity, and malignancy. The diagnosis is made clinically but is often supported by radiography, ultrasound, computed tomography, and magnetic resonance imaging. Treatment consists of emergent hospitalization and surgery to debride the necrotic tissues. Morbidity and mortality for Fournier’s gangrene are very high if left untreated. Early surgical intervention is key to the successful treatment of Fournier’s gangrene. This case report presents a case of Fournier’s gangrene mimicking acute epididymitis and highlights the importance of a thorough physical examination with high clinical suspicion for Fournier’s gangrene.

scholarly journals Fournier's Gangrene Associated with Local Cutaneous HPV Lesions in a Previously Healthy Girl

2013 ◽  
Vol 2013 ◽  
pp. 1-4
Author(s):  
Maria Tsinti ◽  
Theophani Tsekoura ◽  
Evangelos Blevrakis ◽  
Ioannis Vlachakis ◽  
Amalia Tsilimigaki-Christaki
Keyword(s):  
Viral Infections ◽  
Fournier’S Gangrene ◽  
Healthy Individuals ◽  
Optimal Outcome ◽  
Fournier's Gangrene ◽  
Benign Diseases ◽  
Necrotizing Soft Tissue Infection ◽  
The Past ◽  
Common Warts ◽  
High Index Of Suspicion

A case of an 11-year-old prepubertal girl with Fournier's gangrene is presented. The diagnosis was posed after the disease had progressed to the typical clinical picture of frank gangrene. A benign viral infection, common warts, possibly represents the initiating event of the development of this necrotizing soft tissue infection. The development of childhood Fournier's gangrene in association with viral infections has been reported in the past. An optimal outcome was achieved by aggressive antibiotic and surgical treatment despite the late diagnosis. In children, Fournier's gangrene develops in previously healthy individuals with benign diseases often representing the initiating events; thus, high index of suspicion is necessary for an early diagnosis that will lead to the optimal outcome.

scholarly journals A CASE STUDY ON FOURNIER’S GANGRENE IN AN EPILEPTIC PATIENT WITH THE EMERGENCE OF ANTIBIOTIC RESISTANCE IN BACTERIA

2020 ◽  
pp. 88-90
Author(s):  
SOWJANYA MENDEM ◽  
MD AQIB ALI FARAZ ◽  
K. LANKESWAR RAO
Keyword(s):  
Broad Spectrum ◽  
Epileptic Patient ◽  
Fournier’S Gangrene ◽  
Necrotic Tissue ◽  
Fournier's Gangrene ◽  
Broad Spectrum Antibiotic ◽  
Necrotizing Soft Tissue Infection ◽  
The Mean ◽  
High Doses

Fournier's gangrene is rare necrotizing soft tissue infection affecting the perianal, perineal, and genital areas. The mean age of the reported cases was found to be at 55 y, predominantly in men. It occurs due to insufficient blood supply to the affected areas, along with the presence of an infection. Delay in the treatment is associated with a higher mortality rate, up to 90%, as the condition might progress to septic shock and other complications. Treatment requires urgent surgical debridement of all the necrotic tissue along with high doses of broad-spectrum antibiotics. Empirical broad-spectrum antibiotic therapy is to be initiated as soon as possible until the results of the culture cause modifications in the therapy.

scholarly journals Early surgical intervention within 15 hours results in survival benefit in Patients with fournier's gangrene

2016 ◽  
Vol 27 (2) ◽  
pp. S18-S19
Author(s):  
Tsung-Yen Lin ◽  
Chien-Hui Ou ◽  
Wen-Horng Yang ◽  
Yat-Ching Tong ◽  
Hong-Lin Cheng ◽  
...  
Keyword(s):  
Survival Benefit ◽  
Surgical Intervention ◽  
Fournier’S Gangrene ◽  
Fournier's Gangrene ◽  
Early Surgical Intervention

scholarly journals A Type 2 Diabetes Patient who Suffered with Fournier’s Gangrene

2021 ◽  
Vol 2 (1) ◽  
pp. 6
Author(s):  
Kholidatul Husna ◽  
Hermina Novida
Keyword(s):  
Diabetes Mellitus ◽  
Diabetes Patient ◽  
Fournier’S Gangrene ◽  
Risk Of Infection ◽  
Fournier's Gangrene ◽  
Drainage Procedure ◽  
Incision And Drainage ◽  
Uncontrolled Diabetes ◽  
History Of

Diabetes mellitus increases the risk of infection, including Fournier’s gangrene. Fournier’s gangrene (FG) is a rare case, with an average incidence of 1.6 cases per 100,000 population per year. We report a case of a 60 year old male, presented with the history of wounds of the buttocks, penis and scrotum. The patient had a history of uncontrolled diabetes mellitus for 3 years. There were perianal abscesses and necrotic tissue on the penis and scrotum. Radiological evaluation in the patient showed the present of gas forming in scrotal area. Therefore, incision and drainage procedure with necrotomy and debridement were performed, together with antibiotics and blood glucose regulation, then followed by closure of the defect with skin graft and use of flap. The patient was discharge with an improved clinical condition.

302 Early surgical intervention reduces mortality of Fournier's gangrene: 546 cases from a nationwide database

2012 ◽  
Vol 11 (1) ◽  
pp. e302-e302a
Author(s):  
T. Sugihara ◽  
H. Yasunaga ◽  
H. Horiguchi ◽  
T. Fujimura ◽  
H. Nishimatsu ◽  
...  
Keyword(s):  
Surgical Intervention ◽  
Fournier’S Gangrene ◽  
Fournier's Gangrene ◽  
Nationwide Database ◽  
Early Surgical Intervention

Fournier's gangrene as Amyand's hernia complication

2019 ◽  
Vol 98 (7) ◽  
pp. 291-296
Keyword(s):  
Case Report ◽  
Case Reports ◽  
Rare Condition ◽  
Sporadic Case ◽  
Fournier’S Gangrene ◽  
Amyand’S Hernia ◽  
Fournier's Gangrene ◽  
Randomized Controlled Studies ◽  
Based Medicine ◽  
Hernia Complication

Introduction: Fournier’s gangrene is a rare but fast deteriorating and serious condition with high mortality. In most cases, it is characterized as necrotizing fasciitis of the perineum and external genitals. Amyand’s hernia is a rare condition where the appendix is contained in the sac of an inguinal hernia. Inflammatory alterations in the appendix account only for 0.1 % of the cases when Amyand’s hernia is verified. Fournier’s gangrene as a complication of a late diagnosis of appendicitis located in the inguinal canal is described in the literature as rare case reports. Case report: The case report of a 70-year-old patient with Fournier’s gangrene resulting from gangrenous appendicitis of Amyand’s hernia. Conclusion: Fournier’s gangrene as a complication of Amyand’s hernia is a rare condition. Only sporadic case reports thereof can be found in the literature. Because of the rarity of this pathology and the lack of randomized controlled studies, it is difficult to determine the optimal treatment according to the principles of evidence-based medicine. An appropriate approach for this condition appears to be the combination of guidelines developed in Amyand’s therapy according to Losanoff and Basson, along with the recommended “gold standard” therapy for Fournier’s gangrene. This means early and highly radical surgical debridement, adequate antibiotic therapy and intensive care.

Fournier’s gangrene due to Salmonella Typhimurium in a healthy male: a rare aberrant infection

2020 ◽  
Vol 20 ◽  
Author(s):  
Varsha Gupta ◽  
Lipika Singhal ◽  
Kritika Pal ◽  
Mani Bhushan ◽  
Rajeev Sharma ◽  
...  
Keyword(s):  
Salmonella Typhimurium ◽  
Systemic Disease ◽  
External Genitalia ◽  
Fournier’S Gangrene ◽  
The Body ◽  
Healthy Male ◽  
Fournier's Gangrene ◽  
Salmonella Infections ◽  
Chief Complaints ◽  
Human Infections

Introduction: Human Salmonella infections have been classically distinguised into diseases caused by typhoidal and non-typhoidal salmonella (NTS). Typhiodal salmonella includes S. enterica serovars Typhi and Paratyphi that cause the systemic disease but are restricted to human infections, while NTS consists mainly of other serovars that predominantly cause self-limiting gastroenteritis in humans. Localisation of foci with persisting infection occurs due to dissemination of the bacteria throughout the body and can cause a variety of rare clinical syndromes at aberrant sites. Fournier’s gangrene, a rapidly progressive, often fatal, necrotizing fasciitis of the external genitalia and perineum due to Salmonella Typhimurium, is a rare manifestation and has never been reported. Case: A 22-year-old male, apparently healthy patient with no relevant past medical history presented to surgical emergency with chief complaints of swelling of bilateral scrotal area. Infective etiology was considered and a diagnosis of fournier’s gangrene was made. Pure growth of Salmonella Typhimurium was obtained after repeated subculture and was identified biochemically and on serotyping, as Salmonella enterica serotype Typhimurium using specific antisera. Conclusion: In our case report, we describe a case of fournier’s gangrene due to Salmonella Typhimurium in an otherwise healthy male to highlight the unusual presentation of Non typhoidal salmonellae at an aberrant site. We also emphasize the importance of using selective media like Selenite F broth for isolation of Salmonella Typhimurium from a pus sample.

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