Fournier’s gangrene as a rare complication in patient with uncontrolled type 2 diabetes treated with surgical debridement: a case report and literature review
| Autor: | D. Provenzano, S. Lo Bianco, A. Campione, Rosario Vecchio, G. N. Zanghì, M. Zanghì |
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| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Cystostomy medicine.medical_treatment Type 2 diabetes Fournier’s gangrene 03 medical and health sciences 0302 clinical medicine Case report Colostomy Medicine Fasciitis Gangrene business.industry Emergency department Fournier's gangrene Surgical debridement medicine.disease Surgery 030220 oncology & carcinogenesis Heart failure 030211 gastroenterology & hepatology business Complication |
| Zdroj: | International Journal of Surgery Case Reports |
| Popis: | Highlights • Fournier’s gangrene (FG) is a rare disease which usually affects men. It is characterized by progressive necrotizing fasciitis. • A 66-year-old man with uncontrolled type 2 diabetes, obesity with BMI 38, chronic kidney failure and chronic heart failure, reported the onset of symptoms about 14 days before his hospitalization, without consulting any doctor due to Covid-19 pandemic. • The combination therapy of surgical debridement and antibiotics infusion was effective. Introduction Fournier’s gangrene is a potentially fatal emergency condition, supported by an infection of perineal and perianal region, characterized by necrotizing fasciitis with a rapid spread to fascial planes. FG, usually due to compromised host, may be sustained by many microbial pathogens. Case report A 66-year-old man, with a history of uncontrolled type 2 diabetes, obesity with BMI 38, chronic kidney failure and chronic heart failure, was admitted to the Emergency Department with a large area of necrosis involving the perineal and perianal regions. Discussion Fournier’s gangrene is favoured by hypertension, obesity, chronic alcoholism, renal and heart failure. Generally, Fournier’s gangrene needs other procedures in addition to wound debridement such as colostomy, cystostomy, or orchiectomy. Conclusion We report a case of FG found as complication in a patient with uncontrolled type 2 diabetes, treated with effective combination therapy with surgical debridement and antibiotics infusion. |
| Databáze: | OpenAIRE |
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