Fournier's Gangrene in an Elderly Male: A Case Report.

Autor:	Sears SJ; Family Medicine, Florida Atlantic University Charles E. Schmidt College of Medicine, Boca Raton, USA., Menendez K; Family Medicine, Broward Health Medical Center, Fort Lauderdale, USA., Cobo Dominguez B; Family Medicine, Dr. Kiran C. Patel College of Osteopathic Medicine Nova Southeastern University, Clearwater, USA., Chernicki B; Family Medicine, Dr. Kiran C. Patel College of Osteopathic Medicine Nova Southeastern University, Fort Lauderdale, USA., Caushi J; Family Medicine, Dr. Kiran C. Patel College of Osteopathic Medicine Nova Southeastern University, Fort Lauderdale, USA., Cherner R; Family Medicine, Broward Health Medical Center, Fort Lauderdale, USA.
Jazyk:	angličtina
Zdroj:	Cureus [Cureus] 2024 Jul 07; Vol. 16 (7), pp. e64019. Date of Electronic Publication: 2024 Jul 07 (Print Publication: 2024).
DOI:	10.7759/cureus.64019
Abstrakt:	Fournier's gangrene (FG) is a rapidly progressing necrotizing soft tissue infection of the perineum with potential multiorgan involvement, posing significant mortality risks. This case report highlights the clinical presentation, potential risk factors, and emphasizes the critical necessity of immediate antibiotic therapy and surgical debridement, regardless of the causative agents involved. We also aim to provide new images to better visualize a diagnosis of Fournier's gangrene. We present the case of a 65-year-old male with a history of self-care neglect, hypertension, and extensive tobacco use. The patient presented to the emergency department exhibiting classical symptoms of systemic illness, necessitating a collaborative diagnostic and therapeutic approach involving various medical specialties including family medicine, urology, general surgery, interventional radiology, infectious disease, pharmacy, intensive care, social service, and palliative care teams. Despite aggressive interventions during his 24-day hospitalization, the patient's clinical condition progressively deteriorated. This case underscores the significance of early detection, timely intervention, and interdisciplinary cooperation in optimizing outcomes for patients with Fournier's gangrene. Competing Interests: Human subjects: Consent was obtained or waived by all participants in this study. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work. (Copyright © 2024, Sears et al.)
Databáze:	MEDLINE
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