Fournier gangrene due to Rhizobium Radiobacter

Şen,; Pei, Sen; Mo, Sahin

doi:10.12669/pjms.344.14489

Cited by 4 publications

(2 citation statements)

References 8 publications

(14 reference statements)

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“…[5] In other literature, mortality ranges from 0-67% [2] to 3-60%. [34] In one study, perineal involvement specific mortality was documented at 50% as against 20% general mortality in the same study. [30] Limitation This is a retrospective study that could be affected by selection bias.…”

Section: Discussionmentioning

confidence: 95%

Management of Fournier’s Gangrene in a Low Resource Setting

Yunusa¹,

Cassell²,

Konneh³

et al. 2019

Clinic Res Urol

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BACKGROUND Fournier's gangrene (FG) represents a necrotizing infection of the skin and subcutaneous soft tissue of the external genitalia and perineum. [1,2] In 1764, Baurienne first described this condition, but in 1883, Jean Alfred Fournier defined it as an idiopathic, rapidly fulminating infection in previously healthy young patients and pointed out the known predisposing factors for the development of this type of gangrene. [1][2][3][4][5] Mortality ranges from 0 to 67% in some series (FG 5-7).Necrotizing fasciitis in the region of the perineum and genitalia should be termed FG, regardless of the etiology or the presence of infection because the prognosis and treatment are the same. [6]

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Section: Discussionmentioning

confidence: 95%

Management of Fournier’s Gangrene in a Low Resource Setting

Yunusa¹,

Cassell²,

Konneh³

et al. 2019

Clinic Res Urol

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“…Onlara göre kontrol altına alınmamış diyabet kişide bir nevi immünsüprese durum oluşturmaktadır 26 . Ayrıca Şen ve arkadaşlarının Türkiye'den raporladıkları ve etken olarak R.radiobacter üreyen fournier gangrenli hastanın da diabetes mellitus hastası olduğu bildirilmiştir 27 .…”

Section: Discussionunclassified

İntravitreal Enjeksiyon Sonrası Ortaya Çıkan Rhizobium radiobacter Salgınının Mikrobiyolojik Analizi

Parlak¹,

Batur²,

Ölmez³

et al. 2020

Mikrobiyol Bul

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Management of Fournier’s gangrene during the Covid-19 pandemic era: make a virtue out of necessity

Paladini

Cochetti

Tancredi

et al. 2022

Basic Clin. Androl.

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Background Fournier’s gangrene (FG) is a necrotizing fasciitis caused by aerobic and anaerobic bacterial infection that involves genitalia and perineum. Males, in their 60 s, are more affected with 1.6 new cases/100.000/year. Main risk factors are diabetes, malignancy, inflammatory bowel disease. FG is a potentially lethal disease with a rapid and progressive involvement of subcutaneous and fascial plane. A multimodal approach with surgical debridement, antibiotic therapy, intensive support care, and hyperbaric oxygen therapy (HBOT) is often needed. We present the inpatient management of an FG case during the Covid-19 pandemic period. A narrative review of the Literature searching “Fournier’s gangrene”, “necrotizing fasciitis” on PubMed and Scopus was performed. Case presentation A 60 years old man affected by diabetes mellitus, with ileostomy after colectomy for ulcerative colitis, was admitted to our Emergency Department with fever and acute pain, edema, dyschromia of right hemiscrotum, penis, and perineal region. Computed tomography revealed air-gas content and fluid-edematous thickening of these regions. Fournier’s Gangrene Severity Index was 9. A prompt broad-spectrum antibiotic therapy with Piperacillin/Tazobactam, Imipenem and Daptomycin, surgical debridement of genitalia and perineal region with vital tissue exposure, were performed. Bedside daily surgical wound medications with fibrine debridement, normal saline and povidone-iodine solutions irrigation, iodoform and fatty gauze application, were performed until discharge on the 40th postoperative day. Every 3 days office-based medication with silver dressing, after normal saline and povidone-iodine irrigation and fibrinous tissue debridement, was performed until complete re-epithelialization of the scrotum on the 60th postoperative day. Conclusions FG is burdened by a high mortality rate, up to 30%. In the literature, HBOT could improve wound restoration and disease-specific survival. Unfortunately, in our center, we do not have HBOT. Moreover, one of the pandemic period problems was the patient’s displacement and outpatient hospital management. For all these reasons we decided for a conservative inpatient management. Daily cleaning of the surgical wound allowed to obtain its complete restoration avoiding surgical graft and hyperbaric oxygen chamber therapy, without foregoing optimal outcomes.

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Fournier gangrene due to Rhizobium Radiobacter

Cited by 4 publications

References 8 publications

Management of Fournier’s Gangrene in a Low Resource Setting

Management of Fournier’s Gangrene in a Low Resource Setting

İntravitreal Enjeksiyon Sonrası Ortaya Çıkan Rhizobium radiobacter Salgınının Mikrobiyolojik Analizi

Management of Fournier’s gangrene during the Covid-19 pandemic era: make a virtue out of necessity

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