Fournier's gangrene in elderly patient: report of a case
| Autor: | Shinya Yamamoto, Kazuhiro Hanazaki, Toyotake Okanoue, Takashi Chikai, Akihiro Kawamura, Shinichi Hamada, Hajime Nakatani, Yuichiro Inoue |
|---|---|
| Rok vydání: | 2011 |
| Předmět: |
Disseminated intravascular coagulation
Gangrene Aged 80 and over medicine.medical_specialty Debridement Genitourinary system business.industry medicine.medical_treatment General Medicine medicine.disease General Biochemistry Genetics and Molecular Biology Surgery Anti-Bacterial Agents Pneumonia Heart failure Rheumatoid arthritis medicine Humans Female Complication business Fournier Gangrene Aged |
| Zdroj: | The journal of medical investigation : JMI. 58(3-4) |
| ISSN: | 1349-6867 |
| Popis: | Fournier's gangrene (FG) is rapidly progressing acute gangrenous infection of the anorectal and urogenital area. FG needs precocious diagnosis and aggressive treatment with the use of wide spectrum antibioticus and surgical debridement. In our case, a 91-year-old Japanese female who had rehabilitation after treatment of pneumonia and her past history was rheumatoid arthritis treated with steroid and chronic heart failure. Her activities of daily living was bedridden with dementia. Necrotic skin was observed in urogenital and anorectal area and skin redness enlarged to the hip with high fever. Surgical debridement was performed. Both Peptostreptococcus Sp. and Fusobacterium Sp. was cultured from resected necrotic tissue. We used antibioticus, PAPM and PIPC, which had sensitivity for them. But unfortunately, disseminated intravascular coagulation occurred after 4th day of operation, and finally she died after 10th day of operation. We discussed the treatment for FG in patient with complication. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|