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[A case of Fournier's gangrene requiring extensive debridement including bilateral orchiectomy and amputation of the penis].
Hinyokika Kiyo. 1985 Jun; 31(6):1071-5.HK

Abstract

With the evolution of antibiotic agents, necrotizing fasciitis of the male genitalia first described by Fournier has become rare. However, its mortality rate is still high. We present a severe case of this disease. An 80-year-old man who had poor controlled diabetes mellitus was admitted to our hospital with painful swelling of penoscrotal region. Chemotherapy using broad-spectrum antibiotics and drainage of penis, scrotum and lower abdominal wall was performed combined with insulin therapy. Despite the drainage and aggressive chemotherapy with insulin therapy, the gangrene enlarged rapidly and the patient's general condition was getting very poor. Then, we performed extensive debridement including bilateral orchiectomy and amputation of the penis. After the operation, the patient became afebrile and his general condition was improved.

Authors

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Pub Type(s)

Case Reports
English Abstract
Journal Article

Language

jpn

PubMed ID

4061207

Citation

Oki, M, et al. "[A Case of Fournier's Gangrene Requiring Extensive Debridement Including Bilateral Orchiectomy and Amputation of the Penis]." Hinyokika Kiyo. Acta Urologica Japonica, vol. 31, no. 6, 1985, pp. 1071-5.
Oki M, Yui Y, Akimoto M. [A case of Fournier's gangrene requiring extensive debridement including bilateral orchiectomy and amputation of the penis]. Hinyokika Kiyo. 1985;31(6):1071-5.
Oki, M., Yui, Y., & Akimoto, M. (1985). [A case of Fournier's gangrene requiring extensive debridement including bilateral orchiectomy and amputation of the penis]. Hinyokika Kiyo. Acta Urologica Japonica, 31(6), 1071-5.
Oki M, Yui Y, Akimoto M. [A Case of Fournier's Gangrene Requiring Extensive Debridement Including Bilateral Orchiectomy and Amputation of the Penis]. Hinyokika Kiyo. 1985;31(6):1071-5. PubMed PMID: 4061207.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [A case of Fournier's gangrene requiring extensive debridement including bilateral orchiectomy and amputation of the penis]. AU - Oki,M, AU - Yui,Y, AU - Akimoto,M, PY - 1985/6/1/pubmed PY - 1985/6/1/medline PY - 1985/6/1/entrez SP - 1071 EP - 5 JF - Hinyokika kiyo. Acta urologica Japonica JO - Hinyokika Kiyo VL - 31 IS - 6 N2 - With the evolution of antibiotic agents, necrotizing fasciitis of the male genitalia first described by Fournier has become rare. However, its mortality rate is still high. We present a severe case of this disease. An 80-year-old man who had poor controlled diabetes mellitus was admitted to our hospital with painful swelling of penoscrotal region. Chemotherapy using broad-spectrum antibiotics and drainage of penis, scrotum and lower abdominal wall was performed combined with insulin therapy. Despite the drainage and aggressive chemotherapy with insulin therapy, the gangrene enlarged rapidly and the patient's general condition was getting very poor. Then, we performed extensive debridement including bilateral orchiectomy and amputation of the penis. After the operation, the patient became afebrile and his general condition was improved. SN - 0018-1994 UR - https://www.unboundmedicine.com/medline/citation/4061207/[A_case_of_Fournier's_gangrene_requiring_extensive_debridement_including_bilateral_orchiectomy_and_amputation_of_the_penis]_ L2 - https://repository.kulib.kyoto-u.ac.jp/dspace/handle/2433/118503 DB - PRIME DP - Unbound Medicine ER -