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A Case Report of Fournier’s Gangrene
Early identification and intervention of Fournier’s gangrene in the Emergency Department (ED) requires a high index of suspicion and is critical in improved patient outcomes. We present a case of a 64-year-old male with two months of progressively worsening buttock and rectal pain found to have exte...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Department of Emergency Medicine, University of California, Irvine School of Medicine
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10332744/ https://www.ncbi.nlm.nih.gov/pubmed/37465438 http://dx.doi.org/10.21980/J8Z356 |
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author | Duong, Huy Alex Slader, Mark Florian, Jana Smart, Jonathan |
author_facet | Duong, Huy Alex Slader, Mark Florian, Jana Smart, Jonathan |
author_sort | Duong, Huy Alex |
collection | PubMed |
description | Early identification and intervention of Fournier’s gangrene in the Emergency Department (ED) requires a high index of suspicion and is critical in improved patient outcomes. We present a case of a 64-year-old male with two months of progressively worsening buttock and rectal pain found to have extensive black eschar and ecchymosis on exam. In addition, this patient displayed marked leukocytosis, lactic acidosis, and elevated inflammatory markers. A preoperative computed tomography (CT) scan of the abdomen and pelvis revealed multiple perirectal abscesses and subcutaneous fluid and gas in the perineum and scrotum concerning for Fournier’s Gangrene. He was started on broad spectrum antibiotics while in the ED and taken to the operating room for urgent surgical debridement with clinical improvement and was discharged home on day nine. This case report reviews the clinical presentation and interventional modalities, and aims to provide new images to better help visualize a diagnosis of Fournier’s Gangrene. TOPICS: Fournier’s gangrene, necrotizing soft tissue infection, necrotizing fasciitis. |
format | Online Article Text |
id | pubmed-10332744 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Department of Emergency Medicine, University of California, Irvine School of Medicine |
record_format | MEDLINE/PubMed |
spelling | pubmed-103327442023-07-18 A Case Report of Fournier’s Gangrene Duong, Huy Alex Slader, Mark Florian, Jana Smart, Jonathan J Educ Teach Emerg Med Visual EM Early identification and intervention of Fournier’s gangrene in the Emergency Department (ED) requires a high index of suspicion and is critical in improved patient outcomes. We present a case of a 64-year-old male with two months of progressively worsening buttock and rectal pain found to have extensive black eschar and ecchymosis on exam. In addition, this patient displayed marked leukocytosis, lactic acidosis, and elevated inflammatory markers. A preoperative computed tomography (CT) scan of the abdomen and pelvis revealed multiple perirectal abscesses and subcutaneous fluid and gas in the perineum and scrotum concerning for Fournier’s Gangrene. He was started on broad spectrum antibiotics while in the ED and taken to the operating room for urgent surgical debridement with clinical improvement and was discharged home on day nine. This case report reviews the clinical presentation and interventional modalities, and aims to provide new images to better help visualize a diagnosis of Fournier’s Gangrene. TOPICS: Fournier’s gangrene, necrotizing soft tissue infection, necrotizing fasciitis. Department of Emergency Medicine, University of California, Irvine School of Medicine 2022-04-15 /pmc/articles/PMC10332744/ /pubmed/37465438 http://dx.doi.org/10.21980/J8Z356 Text en © 2022 Duong, et al. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed in accordance with the terms of the Creative Commons Attribution (CC BY 4.0) License. See: http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) |
spellingShingle | Visual EM Duong, Huy Alex Slader, Mark Florian, Jana Smart, Jonathan A Case Report of Fournier’s Gangrene |
title | A Case Report of Fournier’s Gangrene |
title_full | A Case Report of Fournier’s Gangrene |
title_fullStr | A Case Report of Fournier’s Gangrene |
title_full_unstemmed | A Case Report of Fournier’s Gangrene |
title_short | A Case Report of Fournier’s Gangrene |
title_sort | case report of fournier’s gangrene |
topic | Visual EM |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10332744/ https://www.ncbi.nlm.nih.gov/pubmed/37465438 http://dx.doi.org/10.21980/J8Z356 |
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