Cargando…

A Challenging Case of Fournier’s Gangrene With Multiple Complications

Fournier's gangrene, a not-so-common urological emergency, is a fast-progressing necrotizing bacterial infection that affects the perineum and external genitalia and can be rapidly fatal unless diagnosed and aggressively managed promptly. Fever, erythematous edema of the scrotum, and palpation...

Descripción completa

Detalles Bibliográficos
Autores principales: Suleimanov, Vugar, Al Hawaj, Kawther, Al Rebh, Fatemah N, Naser, Husain, Al Noaim, Saud
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10688236/
https://www.ncbi.nlm.nih.gov/pubmed/38034187
http://dx.doi.org/10.7759/cureus.48036
_version_ 1785152142848294912
author Suleimanov, Vugar
Al Hawaj, Kawther
Al Rebh, Fatemah N
Naser, Husain
Al Noaim, Saud
author_facet Suleimanov, Vugar
Al Hawaj, Kawther
Al Rebh, Fatemah N
Naser, Husain
Al Noaim, Saud
author_sort Suleimanov, Vugar
collection PubMed
description Fournier's gangrene, a not-so-common urological emergency, is a fast-progressing necrotizing bacterial infection that affects the perineum and external genitalia and can be rapidly fatal unless diagnosed and aggressively managed promptly. Fever, erythematous edema of the scrotum, and palpation of classic scrotal crepitation are among the clinical symptoms. The treatment involves rapid administration of empirical broad-spectrum antibiotics with gram-positive, gram-negative, and anaerobic coverage and rigorous surgical debridement down to the bleeding tissues. The medium-term complications of this condition are primarily associated with extended stay in an intensive care unit and cardiorespiratory, thromboembolic, and cutaneous complications, whereas the long-term complications are mainly functional, aesthetic, and psychological. Also, there are complications inherent to ancillary interventions such as penectomy, orchidectomy, reconstructive surgery, and restoration of digestive continuity. Herein, we present the case of a 40-year-old diabetic male who was admitted with an initial diagnosis of scrotal abscess, which turned out to be Fournier's gangrene. Despite developing multiple complications and numerous surgeries, he made a full recovery and was discharged home after a prolonged hospital stay.
format Online
Article
Text
id pubmed-10688236
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher Cureus
record_format MEDLINE/PubMed
spelling pubmed-106882362023-11-30 A Challenging Case of Fournier’s Gangrene With Multiple Complications Suleimanov, Vugar Al Hawaj, Kawther Al Rebh, Fatemah N Naser, Husain Al Noaim, Saud Cureus Emergency Medicine Fournier's gangrene, a not-so-common urological emergency, is a fast-progressing necrotizing bacterial infection that affects the perineum and external genitalia and can be rapidly fatal unless diagnosed and aggressively managed promptly. Fever, erythematous edema of the scrotum, and palpation of classic scrotal crepitation are among the clinical symptoms. The treatment involves rapid administration of empirical broad-spectrum antibiotics with gram-positive, gram-negative, and anaerobic coverage and rigorous surgical debridement down to the bleeding tissues. The medium-term complications of this condition are primarily associated with extended stay in an intensive care unit and cardiorespiratory, thromboembolic, and cutaneous complications, whereas the long-term complications are mainly functional, aesthetic, and psychological. Also, there are complications inherent to ancillary interventions such as penectomy, orchidectomy, reconstructive surgery, and restoration of digestive continuity. Herein, we present the case of a 40-year-old diabetic male who was admitted with an initial diagnosis of scrotal abscess, which turned out to be Fournier's gangrene. Despite developing multiple complications and numerous surgeries, he made a full recovery and was discharged home after a prolonged hospital stay. Cureus 2023-10-31 /pmc/articles/PMC10688236/ /pubmed/38034187 http://dx.doi.org/10.7759/cureus.48036 Text en Copyright © 2023, Suleimanov et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Emergency Medicine
Suleimanov, Vugar
Al Hawaj, Kawther
Al Rebh, Fatemah N
Naser, Husain
Al Noaim, Saud
A Challenging Case of Fournier’s Gangrene With Multiple Complications
title A Challenging Case of Fournier’s Gangrene With Multiple Complications
title_full A Challenging Case of Fournier’s Gangrene With Multiple Complications
title_fullStr A Challenging Case of Fournier’s Gangrene With Multiple Complications
title_full_unstemmed A Challenging Case of Fournier’s Gangrene With Multiple Complications
title_short A Challenging Case of Fournier’s Gangrene With Multiple Complications
title_sort challenging case of fournier’s gangrene with multiple complications
topic Emergency Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10688236/
https://www.ncbi.nlm.nih.gov/pubmed/38034187
http://dx.doi.org/10.7759/cureus.48036
work_keys_str_mv AT suleimanovvugar achallengingcaseoffourniersgangrenewithmultiplecomplications
AT alhawajkawther achallengingcaseoffourniersgangrenewithmultiplecomplications
AT alrebhfatemahn achallengingcaseoffourniersgangrenewithmultiplecomplications
AT naserhusain achallengingcaseoffourniersgangrenewithmultiplecomplications
AT alnoaimsaud achallengingcaseoffourniersgangrenewithmultiplecomplications
AT suleimanovvugar challengingcaseoffourniersgangrenewithmultiplecomplications
AT alhawajkawther challengingcaseoffourniersgangrenewithmultiplecomplications
AT alrebhfatemahn challengingcaseoffourniersgangrenewithmultiplecomplications
AT naserhusain challengingcaseoffourniersgangrenewithmultiplecomplications
AT alnoaimsaud challengingcaseoffourniersgangrenewithmultiplecomplications