scholarly journals Fourniers gangrene-A case report and literature review

2012 ◽  
Vol 7 (3) ◽  
pp. 62-67
Author(s):  
A Agarwal ◽  
A Karmacharaya ◽  
S Hirachan ◽  
WK Belokar
Keyword(s):  
Case Report ◽  
Soft Tissue ◽  
Broad Spectrum ◽  
Skin Grafting ◽  
Multiple Organ ◽  
Medical Sciences ◽  
Anaerobic Microorganisms ◽  
Broad Spectrum Antibiotics ◽  
Appropriate Therapy ◽  
Aerobic And Anaerobic

Fournier’s gangrene(FG) is a rare, necrotising fasciitis of the genitals and perineum with occasional cranial extension to the abdominal wall caused by a mixture of aerobic and anaerobic microorganisms. The complications of this synergistic infection are multiple organ failure and death. Due to the aggressive nature of this condition, early diagnosis is crucial. Treatment involves extensive soft tissue debridement and broad-spectrum antibiotics. Despite appropriate therapy, mortality is high. We report a case of a gentleman who presented with gangrenous and necrotic penile, scrotal and perineal areas. Patient was successfully managed by extensive soft tissue debridement, broad spectrum antibiotics and skin grafting. DOI: http://dx.doi.org/10.3126/jcmsn.v7i3.6713 Journal of College of Medical Sciences-Nepal, 2011, Vol-7, No-3, 62-67 

scholarly journals Chronic suppurative mandibular osteomyelitis presenting as soft tissue swelling and trismus: A case report

2013 ◽  
Vol 2 (2) ◽  
pp. 197-199
Author(s):  
K Ahmad ◽  
S Ansari ◽  
K Dhungel ◽  
MK Gupta ◽  
MF Amanullah ◽  
...  
Keyword(s):  
Case Report ◽  
Soft Tissue ◽  
Clinical Symptom ◽  
Rare Condition ◽  
Medical Sciences ◽  
Lower Jaw ◽  
Soft Tissue Swelling ◽  
The Face ◽  
Fascial Spaces ◽  
Experience Pain

Osteomyelitis of the mandible is a rare condition and it could be a serious complication of untreated odontogenic infection. Classically, patient with osteomyelitis of the mandible would experience pain and swelling over the affected side of the face. CT is usually indicated when there is extension of the infection into the adjacent soft tissue and fascial spaces which could be the presenting clinical symptom. Hereby, we present a case of mandibular osteomyelitis in an 11 year old girl who presented with pain and swelling in left lower jaw followed by extraction of tooth, diagnosed on CT followed by surgical management. Nepal Journal of Medical Sciences | Volume 02 | Number 02 | July-December 2013 | Page 197-199  DOI: http://dx.doi.org/10.3126/njms.v2i2.8978  

scholarly journals Acquired Umbilico-Inguinal Fistula with Persistent Discharge due to Suture Reaction: A Case Report and Review of the Literature

2012 ◽  
Vol 2012 ◽  
pp. 1-2 ◽  
Author(s):  
Muazez Cevik
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Inguinal Hernia ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Broad Spectrum ◽  
Initial Diagnosis ◽  
Silk Suture ◽  
Review Of The Literature ◽  
Broad Spectrum Antibiotics

The aim of this paper is to stay a very rare umbilico-inguinal fistula (UIF) resulting from a delayed suture reaction after the use of silk suture to repair an inguinal hernia. A 3-year-old boy presented with persistent umbilical discharge. The initial diagnosis was omphalitis and he was treated with broad-spectrum antibiotics but a UIF was subsequently diagnosed. Surgery was performed to ascertain the cause of the UIF. This case demonstrates that silk suture used in inguinal hernia repair can lead to a UIF, which should be considered in the differential diagnosis of a patient presenting with persistent umbilical discharge.

scholarly journals Fournier′s gangrene of the penis

2005 ◽  
Vol 38 (02) ◽  
pp. 154-156
Author(s):  
Francis Leo Tauro ◽  
M Roshan ◽  
B S Sathish Rao ◽  
J Ravikrishnan ◽  
Leo T Menezes
Keyword(s):  
Abdominal Wall ◽  
Broad Spectrum ◽  
Normal Skin ◽  
Skin Grafting ◽  
Early Therapy ◽  
Broad Spectrum Antibiotics ◽  
Localized Disease

ABSTRACTFournier′s gangrene is a rare, fulminant, though generally localized disease of the scrotum and penis with occasional extension up the abdominal wall. The usual organism is an anaerobic streptococcus synergistic with some second organism. Our case was unusual in that only the penis was involved without involving the scrotum or abdominal wall. Early therapy is the key, including hospitalization, debridement of entire shaft of the penis distal to the devasted area without excising the normal skin, parenteral broad-spectrum antibiotics & skin grafting. Only few cases of Fournier′s gangrene of the penis have been reported.

scholarly journals Pneumococcal Endometritis with Peritonitis: Case Report and Review of the Literature

1991 ◽  
Vol 2 (4) ◽  
pp. 161-164
Author(s):  
KI Ostrowska ◽  
C Rotstein ◽  
JH Thornley ◽  
LA Mandell
Keyword(s):  
Case Report ◽  
Broad Spectrum ◽  
Review Of The Literature ◽  
Potential Significance ◽  
Broad Spectrum Antibiotics ◽  
First Case

The first case of pneumococcal endometritis with peritonitis in a woman using tampons is described. The patient responded to removal of the tampon and administration of broad spectrum antibiotics. The pathogenesis of pneumococcal endometritis and peritonitis and the potential significance of a tampon in situ are discussed.

scholarly journals Fungal peritonitis in patients undergoing continuous ambulatory peritoneal dialysis in Qatar

2011 ◽  
Vol 5 (09) ◽  
pp. 646-651 ◽  
Author(s):  
Fahmi Yousef Khan ◽  
Mohammed Elsayed ◽  
Deshmukh Anand ◽  
Mohammed Abu Khattab ◽  
Doiphode Sanjay
Keyword(s):  
Peritoneal Dialysis ◽  
Continuous Ambulatory Peritoneal Dialysis ◽  
Broad Spectrum ◽  
Candida Species ◽  
Antibiotic Use ◽  
Fungal Species ◽  
Fungal Peritonitis ◽  
Bacterial Peritonitis ◽  
Broad Spectrum Antibiotics ◽  
Appropriate Therapy

Introduction: This study was conducted at Hamad General Hospital to determine the incidence of fungal peritonitis and to describe its clinical and microbiological findings in patients undergoing continuous ambulatory peritoneal dialysis in Qatar. Methodology: The medical records of these patients between 1 January 2005 and 31 December 2008 were retrospectively reviewed and the collected data were analysed. Results: During the study period, 141 episodes of peritonitis were observed among 294 patients. In 14 of these episodes (9.9%), fungal peritonitis was reported in 14 patients with a rate of 0.05 episodes per patient year, while the bacterial peritonitis rate was 0.63 per patient year. Thirteen (93%) patients had one or more previous episodes of bacterial peritonitis that was treated with multiple broad-spectrum antibiotics, 11 (85%) had received broad-spectrum antibiotics within the preceding month, 12 (92%) within three months, and 8 (62%) within six months. Candida species were the only fungal species isolated from the dialysate with predominance of non-albicans Candida species (especially Candida parapsilosis). Therapeutic approach was immediate catheter removal, followed by systemic antifungal therapy and temporary haemodialysis. Nine patients (64.3%) were continued on haemodialysis, whereas five patients (35.7%) died. Conclusions: Prior antibiotic use was an important risk factor predisposing patients to the development of fungal peritonitis. Early detection of fungal peritonitis would lead to early institution of appropriate therapy and prevention of complications.

scholarly journals Fournier's Gangrene

2016 ◽  
Vol 5 (1) ◽  
pp. 1101
Author(s):  
Tejas A. P. ◽  
Revanasiddappa . ◽  
Hariprasad T. R. ◽  
Rohit K.
Keyword(s):  
Case Report ◽  
Bacterial Flora ◽  
Disease Process ◽  
Multiple Organ ◽  
Fournier’S Gangrene ◽  
Antibiotic Administration ◽  
Fournier's Gangrene ◽  
Life Threatening ◽  
Aggressive Debridement ◽  
Aerobic And Anaerobic

Fournier's gangrene is a rare, idiopathic, life threatening, necrotising fascitis of the genitals and perineum caused by both aerobic and anaerobic bacterial flora. The synergistic effect of the bacteriae results in fulminating gangrene, multiple organ failure and death. Most commonly it has predilection for diabetic and alcohol abused individuals. Timely recognition of the disease process and initiation of treatment with aggressive debridement and antibiotic administration is called for. In this case report, we recall an account of our tryst with Fournier's gangrene management.

scholarly journals Salvage of a mangled limb with Matriderm® augmented split-skin grafting and maggot biodebridement

2021 ◽  
Author(s):  
Maximilian Lempert ◽  
Hans-Christoph Pape ◽  
Gerrolt Jukema
Keyword(s):  
Case Report ◽  
Soft Tissue ◽  
Negative Pressure Wound Therapy ◽  
Treatment Options ◽  
Skin Grafting ◽  
Soft Tissue Injuries ◽  
Wound Therapy ◽  
Split Skin Grafting ◽  
Split Skin ◽  
Severe Soft Tissue

We present a case of a young woman with a mangled leg, that could be salvaged with a combination of negative pressure wound therapy, Matriderm® augmented split-skin grafting, and maggot biodebridement. The aim of this case report is to outline alternative treatment options in severe soft tissue injuries.

‘Bastard bush’: acacia thorn injuries and management

2018 ◽  
Vol 165 (3) ◽  
pp. 204-205
Author(s):  
Simon Johnstone Smail ◽  
C Arthur ◽  
K Hylands ◽  
C J Stewart
Keyword(s):  
Case Report ◽  
Broad Spectrum ◽  
Lower Limb ◽  
Imaging Modality ◽  
Surgical Removal ◽  
Ultrasound Scan ◽  
Broad Spectrum Antibiotics ◽  
The World

This case report outlines the presentation and management of a young soldier who sustained a lower limb acacia thorn injury while on exercise in Kenya. The injury failed to heal with a subsequent ultrasound scan revealing a large retained thorn requiring surgical removal and wash out. From this case, lessons can be learnt regarding the management of thorn injuries, which are common in exercising troops in Kenya and indeed around the world. The key take-home messages are always consider a retained thorn if wounds fail to settle, use ultrasound as the imaging modality of choice, always remove identified retained thorns and if antibiotics are required use broad-spectrum antibiotics pending culture results.

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