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[Necrotizing perineal phlegmon (Fournier's gangrene)].
Actas Urol Esp. 1989 Sep-Oct; 13(5):381-3.AU

Abstract

The scrotal and perineal necrosis process, known as Fournier's gangrene, constitutes a characteristic clinical pattern of fulminating course and high mortality. In this series, we analyse 22 patients bearers of this condition treated in our service over the last 10 years. Their average age was 60.6. A factor unleashing the infectious process could be shown in 14 patients (63.6%), chiefly urogenital pathology. Six patients were diabetic (27.3%). The treatment favoured by the authors contemplates early surgical intervention with limited debridement, ample drainage, wide spectrum antibiotics and cystostomy in appropriate cases. With this schema the mortality of the series was only 9.1% (2 patients). This entity represents a real urological emergency. Its early identification and prompt appropriate treatment are key elements for bringing down the high mortality.

Authors

No affiliation info availableNo affiliation info available

Pub Type(s)

English Abstract
Journal Article

Language

spa

PubMed ID

2596359

Citation

Octavio Castillo, C, and S Carlos Martínez. "[Necrotizing Perineal Phlegmon (Fournier's Gangrene)]." Actas Urologicas Espanolas, vol. 13, no. 5, 1989, pp. 381-3.
Octavio Castillo C, Carlos Martínez S. [Necrotizing perineal phlegmon (Fournier's gangrene)]. Actas Urol Esp. 1989;13(5):381-3.
Octavio Castillo, C., & Carlos Martínez, S. (1989). [Necrotizing perineal phlegmon (Fournier's gangrene)]. Actas Urologicas Espanolas, 13(5), 381-3.
Octavio Castillo C, Carlos Martínez S. [Necrotizing Perineal Phlegmon (Fournier's Gangrene)]. Actas Urol Esp. 1989 Sep-Oct;13(5):381-3. PubMed PMID: 2596359.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Necrotizing perineal phlegmon (Fournier's gangrene)]. AU - Octavio Castillo,C, AU - Carlos Martínez,S, PY - 1989/9/1/pubmed PY - 1989/9/1/medline PY - 1989/9/1/entrez SP - 381 EP - 3 JF - Actas urologicas espanolas JO - Actas Urol Esp VL - 13 IS - 5 N2 - The scrotal and perineal necrosis process, known as Fournier's gangrene, constitutes a characteristic clinical pattern of fulminating course and high mortality. In this series, we analyse 22 patients bearers of this condition treated in our service over the last 10 years. Their average age was 60.6. A factor unleashing the infectious process could be shown in 14 patients (63.6%), chiefly urogenital pathology. Six patients were diabetic (27.3%). The treatment favoured by the authors contemplates early surgical intervention with limited debridement, ample drainage, wide spectrum antibiotics and cystostomy in appropriate cases. With this schema the mortality of the series was only 9.1% (2 patients). This entity represents a real urological emergency. Its early identification and prompt appropriate treatment are key elements for bringing down the high mortality. SN - 0210-4806 UR - https://www.unboundmedicine.com/medline/citation/2596359/[Necrotizing_perineal_phlegmon__Fournier's_gangrene_]_ L2 - https://medlineplus.gov/cellulitis.html DB - PRIME DP - Unbound Medicine ER -