Fournier’s gangrene: prospective study of 34 patients in South Indian population and treatment strategies
| Autor: | Elango Velu, Sujith Tumkur Rajashekar, Anusha Mruthyunjaya Swamy, Elankumar Subburayan, Vigneswara Srinivasan Sockkalingam |
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| Rok vydání: | 2018 |
| Předmět: |
Adult
Male medicine.medical_specialty necrotizing fasciitis Fournier´s gangrene 030232 urology & nephrology India HIV Infections Perineum 03 medical and health sciences 0302 clinical medicine Diabetes Mellitus medicine Humans Outpatient clinic Prospective Studies Prospective cohort study Fasciitis Aged Aged 80 and over Gangrene business.industry Research General surgery Incidence (epidemiology) General Medicine Emergency department Middle Aged Plastic Surgery Procedures medicine.disease Debridement 030220 oncology & carcinogenesis Scrotum Etiology reconstructive procedure Female business Fournier Gangrene Follow-Up Studies Rare disease |
| Zdroj: | The Pan African Medical Journal |
| ISSN: | 1937-8688 |
| DOI: | 10.11604/pamj.2018.31.110.15495 |
| Popis: | Introduction Fournier's gangrene (FG) is a fulminant necrotizing fasciitis of the perineum and genitalia. The objective of this study was to study the etiology and microbiology associated with FG and to study the debridement and reconstructive procedures required in these patients. Methods This was a prospective follow up study conducted from September 2011 to November 2012 at Coimbatore medical college hospital, Coimbatore, India. Patients presenting to the outpatient department and emergency department with the clinical diagnosis of FG were included in the study. Results A total of 34 patients were studied in the study period. The mean age of presentation in years was 50±11.13. The male to female ratio was 33:1. The source of the infection was most commonly anorectal. Diabetes mellitus was the most common co morbid factor associated. Most commonly the disease was polymicrobial with escherichia coli being the commonest grown organism. The average number of wound debridement required was 2.9±1.42. Primary closure of the scrotal skin defect was the most common reconstructive procedure performed. Mortality associated with the disease in our series was 11.8%. Conclusion Although FG is a relatively rare disease, it is still prevalent in Indian population. Incidence of FG in HIV patients is high, even though it is not the commonest of the co morbid condition. The mortality can be kept to minimal with aggressive medical and surgical management. Extensive raw area following the infection and wound debridement can be managed by simple reconstructive procedures with good outcome. |
| Databáze: | OpenAIRE |
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