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Fournier's Gangrene Does Not Spare Young Adults.
Wounds. 2018 Jul; 30(7):E73-E76.W

Abstract

INTRODUCTION

Fournier's gangrene is a rare but severe form of necrotizing fasciitis, primarily affecting the perianal, genital, and perineal regions. It is a rapidly progressive disease and can be potentially fatal; therefore, it should be treated as an emergency.

CASE REPORT

Presented herein is the case of a 30-year-old man, without significant medical history, who presented to general surgery with complaints of swelling and pain in the gluteal area. The patient underwent emergency surgery on the day of admission to the emergency department where excessive fasciectomy and necrectomy were performed; broad-spectrum parenteral antibiotic therapy also was administered.

CONCLUSIONS

Fournier's gangrene is a surgical emergency, and the main cornerstones of treatment are patient resuscitation, broad-spectrum parenteral antibiotic therapy, and, most importantly, surgical debridement. Any delay in treatment can dramatically increase mortality.

Authors+Show Affiliations

Department of Surgical Infections, University Medical Centre, Ljubljana, Slovenia.Medical faculty, University in Ljubljana, Ljubljana, Slovenia.

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

30059341

Citation

Semenič, Danijela, and Petra Kolar. "Fournier's Gangrene Does Not Spare Young Adults." Wounds : a Compendium of Clinical Research and Practice, vol. 30, no. 7, 2018, pp. E73-E76.
Semenič D, Kolar P. Fournier's Gangrene Does Not Spare Young Adults. Wounds. 2018;30(7):E73-E76.
Semenič, D., & Kolar, P. (2018). Fournier's Gangrene Does Not Spare Young Adults. Wounds : a Compendium of Clinical Research and Practice, 30(7), E73-E76.
Semenič D, Kolar P. Fournier's Gangrene Does Not Spare Young Adults. Wounds. 2018;30(7):E73-E76. PubMed PMID: 30059341.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Fournier's Gangrene Does Not Spare Young Adults. AU - Semenič,Danijela, AU - Kolar,Petra, PY - 2018/7/31/entrez PY - 2018/7/31/pubmed PY - 2019/2/12/medline SP - E73 EP - E76 JF - Wounds : a compendium of clinical research and practice JO - Wounds VL - 30 IS - 7 N2 - INTRODUCTION: Fournier's gangrene is a rare but severe form of necrotizing fasciitis, primarily affecting the perianal, genital, and perineal regions. It is a rapidly progressive disease and can be potentially fatal; therefore, it should be treated as an emergency. CASE REPORT: Presented herein is the case of a 30-year-old man, without significant medical history, who presented to general surgery with complaints of swelling and pain in the gluteal area. The patient underwent emergency surgery on the day of admission to the emergency department where excessive fasciectomy and necrectomy were performed; broad-spectrum parenteral antibiotic therapy also was administered. CONCLUSIONS: Fournier's gangrene is a surgical emergency, and the main cornerstones of treatment are patient resuscitation, broad-spectrum parenteral antibiotic therapy, and, most importantly, surgical debridement. Any delay in treatment can dramatically increase mortality. SN - 1943-2704 UR - https://www.unboundmedicine.com/medline/citation/30059341/Fournier's_Gangrene_Does_Not_Spare_Young_Adults_ L2 - http://www.woundsresearch.com/article/fourniers-gangrene-does-not-spare-young-adults DB - PRIME DP - Unbound Medicine ER -