Fournier's Gangrene in Neonates and Infants

Ameh, Emmanuel A.; Dauda, Mohammed; Sabiu, L.; Mshelbwala, P. M.; Mbibu, HN; Nmadu, P. T.

doi:10.1055/s-2004-821138

Cited by 32 publications

(28 citation statements)

References 5 publications

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“…In contrast to that, more recent work has shown that the perineal gangrene as well as all other manifestations of necrotizing fasciitis is not limited to young individuals, nor is it limited to men [5,6]. Reports have been published about the appearance of the infection in elderly men, women, children an even in newborns [4][5][6][7]. However, predisposing factors as diabetes mellitus, alcoholism, immunosuppressant therapy, liver and renal diseases are frequent, although not obligatory [8][9][10].…”

Section: Epidemiological Clinical and Diagnostic Featuresmentioning

confidence: 99%

“…However, predisposing factors as diabetes mellitus, alcoholism, immunosuppressant therapy, liver and renal diseases are frequent, although not obligatory [8][9][10]. There is a higher prevalence of the disease in poorly developed countries [4,6,7,11]. While Fournier himself thought the disease to be idiopathic, nowadays, in most cases, the origin of the infection is known or may be evaluated [5].…”

Section: Epidemiological Clinical and Diagnostic Featuresmentioning

confidence: 99%

See 1 more Smart Citation

Necrotizing Fasciitis of the Perineum and the Abdominal Wall-Surgical Approach

Ecker¹,

Baars²,

Töpfer³

et al. 2008

Eur J Trauma Emerg Surg

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Necrotizing fasciitis is a synergistic aerobical-anaerobical infection that rapidly spreads from its origin leading to foudroyant increasing soft tissue gangrene and systemic sepsis. In the perineal, perianal and genital regions it is referred to as Fournier's gangrene constituting a clinical entity with the gangrene of the abdominal wall. After a short presentation of the own experience with 17 patients the surgical approach to the life-threatening disease is presented reviewing the former and the recent literature. There is a worldwide consensus that immediate radical excision of the gangrene should be accompanied by intensive care measures. Functional and cosmetic defects are to be reconstructed in a second stage. However, morbidity and mortality remain high in spite of consequent treatment due to often associated significant co-morbidity of affected patients.

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Section: Epidemiological Clinical and Diagnostic Featuresmentioning

confidence: 99%

Section: Epidemiological Clinical and Diagnostic Featuresmentioning

confidence: 99%

Necrotizing Fasciitis of the Perineum and the Abdominal Wall-Surgical Approach

Ecker¹,

Baars²,

Töpfer³

et al. 2008

Eur J Trauma Emerg Surg

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“…Pediatric involvement is rare. The use of nonsteroidal antiinflamatory drugs (NSAID) have been found to be associated with Fournier's gangrene in children, besides other causes [1][2][3][4][5][6]. In the present case Fournier's gangrene was associated with neglected prolonged diarrhea, perianal excoriation resulting from diarrhea, and poor hygiene which has not been reported in literature so far.…”

Section: Introductionmentioning

confidence: 57%

“…The necrotizing fasciitis commonly originates from an infection of the anorectum, urogenital tract or the skin of the genitals [3]. The predisposing factors linked to Fournier's gangrene in children, which are mentioned in literature are NSAIDs use, post varicella infection, diaper rash, prematurity, circumcision, strangulated hernia, testicular torsion, trauma and insect bite [1,[4][5][6]. The treatment of Fournier's gangrene in children is equivocal.…”

Section: Discussionmentioning

confidence: 99%

Fournier's gangrene in a pediatric patient after prolonged neglected diarrhea: A case report

Neogi¹,

Kariholu²,

Chatterjee³

et al. 2013

IJCRI

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Introduction: Fournier's gangrene in pediatric population is rare and because of low incidence the etiopathogenesis in children is not well known. Case Report: We report a rare case of a 10monthold male infant with severe Fournier's gangrene occurring after an episode of prolonged diarrhea. The progression of the disease was very fast and in spite of undergoing a diversion transverse colostomy, the child could not survive. Conclusion: Fournier's gangrene in children is rare and the course of the illness in our case was very rapid. The relation of this severe form of fasciitis with a common condition like diarrhea is rare and must be known to the treating clinicians.

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“…In the pediatric literature there is description of healing with limited excision of scrotal afection. (Ameh et al, 2004) …”

Section: Age and Sexmentioning

confidence: 99%