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Fournier's gangrene in a female with spinal cord injury: a case report.
Spinal Cord. 2010 Mar; 48(3):268-9.SC

Abstract

INTRODUCTION

We report the case of a woman with spinal cord injury (SCI) who presented to us with Fournier's gangrene.

CASE REPORT

A 60-year-old patient with SCI, ASIA A, neurological level D6, on clean intermittent catheterization presented with rapid necrosis of the perineal region, including the labia and anus, which developed after traumatic catheterizations for clean intermittent catheterization. She required repeated debridement and loop colostomy for management.

CONCLUSION

We conclude that patients with SCI are rarely at risk for Fournier's gangrene secondary to neurogenic bladder and bowel, as well as to impaired sensations and genital flora. Treating physicians need to be aware of this complication in order to prevent mortality.

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Publisher Full Text (DOI)

Authors+Show Affiliations

Nigam V
Department of Spine Surgery, Indian Spinal Injuries Centre, Sector C, Vasant Kunj, Delhi, India. v_nigamdr@yahoo.com
Halim TA
No affiliation info available
Chhabra HS
No affiliation info available

MeSH

ColostomyDebridementFemaleFournier GangreneHumansMiddle AgedPerineumSkinSkin TransplantationSpinal Cord Injuries

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

19786974

Citation

Nigam, V, et al. "Fournier's Gangrene in a Female With Spinal Cord Injury: a Case Report." Spinal Cord, vol. 48, no. 3, 2010, pp. 268-9.
Nigam V, Halim TA, Chhabra HS. Fournier's gangrene in a female with spinal cord injury: a case report. Spinal Cord. 2010;48(3):268-9.
Nigam, V., Halim, T. A., & Chhabra, H. S. (2010). Fournier's gangrene in a female with spinal cord injury: a case report. Spinal Cord, 48(3), 268-9. https://doi.org/10.1038/sc.2009.127
Nigam V, Halim TA, Chhabra HS. Fournier's Gangrene in a Female With Spinal Cord Injury: a Case Report. Spinal Cord. 2010;48(3):268-9. PubMed PMID: 19786974.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Fournier's gangrene in a female with spinal cord injury: a case report. AU - Nigam,V, AU - Halim,T A, AU - Chhabra,H S, Y1 - 2009/09/29/ PY - 2009/9/30/entrez PY - 2009/9/30/pubmed PY - 2010/5/26/medline SP - 268 EP - 9 JF - Spinal cord JO - Spinal Cord VL - 48 IS - 3 N2 - INTRODUCTION: We report the case of a woman with spinal cord injury (SCI) who presented to us with Fournier's gangrene. CASE REPORT: A 60-year-old patient with SCI, ASIA A, neurological level D6, on clean intermittent catheterization presented with rapid necrosis of the perineal region, including the labia and anus, which developed after traumatic catheterizations for clean intermittent catheterization. She required repeated debridement and loop colostomy for management. CONCLUSION: We conclude that patients with SCI are rarely at risk for Fournier's gangrene secondary to neurogenic bladder and bowel, as well as to impaired sensations and genital flora. Treating physicians need to be aware of this complication in order to prevent mortality. SN - 1476-5624 UR - https://www.unboundmedicine.com/medline/citation/19786974/Fournier's_gangrene_in_a_female_with_spinal_cord_injury:_a_case_report_ L2 - https://doi.org/10.1038/sc.2009.127 DB - PRIME DP - Unbound Medicine ER -