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

Abstract

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.

Fournier gangrene in an infant, complicated with severe sepsis and liver dysfunction: A case report

“…Lu et al [ 12 ] also reported the case of an 8-month-old girl with Fournier gangrene caused by Escherichia coli , which was complicated by septic shock and septic associated encephalopathy[ 12 ]. The majority of pediatric cases of Fournier gangrene have been reported in previously healthy children, who may appear well in the early stages of the disease and thus escape diagnosis, as in our case[ 3 ].…”

Atuação do enfermeiro na prevenção da gangrena de Fournier: atenção í saúde do homem

“…A GF foi relatada também por Tsinti et al [15] por apresentar maior predisposição a pessoas com infecções virais, descrevendo as lesões por HPV um forte fator para o seu desenvolvimento. Outro fator predisponente relatado na literatura por Khemees et al [16], que considera a bactéria Neisseria meningitidis causadora da GF, ocasionando a uretrite que tem uma alta incidência em homens homossexuais devido a alterações no comportamento sexual.…”