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Fournier gangrene: a rare case of necrotizing fasciitis of the entire right hemi-pelvis in a diabetic female

Fournier's gangrene, a rare polymicrobial infection that affects the genitals and perineum, can present as an insidious onset to a rapid and fulminant course. Early recognition, diagnosis, initiation of broad-spectrum antibiotics and prompt surgical treatment remain the foundation of management...

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Detalles Bibliográficos
Autores principales: Taylor, Gregory M, Hess, David V
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5806399/
https://www.ncbi.nlm.nih.gov/pubmed/29479450
http://dx.doi.org/10.1093/omcr/omx094
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author Taylor, Gregory M
Hess, David V
author_facet Taylor, Gregory M
Hess, David V
author_sort Taylor, Gregory M
collection PubMed
description Fournier's gangrene, a rare polymicrobial infection that affects the genitals and perineum, can present as an insidious onset to a rapid and fulminant course. Early recognition, diagnosis, initiation of broad-spectrum antibiotics and prompt surgical treatment remain the foundation of management. If treatment is not initiated aggressively, the patient will likely rapidly deteriorate, leading to organ failure and death. We present the case of a 58-year-old diabetic female presenting febrile, hypoxic, with severe respiratory distress and evidence of septic shock, found to have necrotizing fasciitis of the entire right hemi-pelvis. Despite rapid recognition, IV antibiotics and operative management, the patient went to the intensive-care unit on multiple pressors and died 24 h later.
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spelling pubmed-58063992018-02-23 Fournier gangrene: a rare case of necrotizing fasciitis of the entire right hemi-pelvis in a diabetic female Taylor, Gregory M Hess, David V Oxf Med Case Reports Clinical Image Fournier's gangrene, a rare polymicrobial infection that affects the genitals and perineum, can present as an insidious onset to a rapid and fulminant course. Early recognition, diagnosis, initiation of broad-spectrum antibiotics and prompt surgical treatment remain the foundation of management. If treatment is not initiated aggressively, the patient will likely rapidly deteriorate, leading to organ failure and death. We present the case of a 58-year-old diabetic female presenting febrile, hypoxic, with severe respiratory distress and evidence of septic shock, found to have necrotizing fasciitis of the entire right hemi-pelvis. Despite rapid recognition, IV antibiotics and operative management, the patient went to the intensive-care unit on multiple pressors and died 24 h later. Oxford University Press 2018-02-09 /pmc/articles/PMC5806399/ /pubmed/29479450 http://dx.doi.org/10.1093/omcr/omx094 Text en © The Author 2018. Published by Oxford University Press. http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com
spellingShingle Clinical Image
Taylor, Gregory M
Hess, David V
Fournier gangrene: a rare case of necrotizing fasciitis of the entire right hemi-pelvis in a diabetic female
title Fournier gangrene: a rare case of necrotizing fasciitis of the entire right hemi-pelvis in a diabetic female
title_full Fournier gangrene: a rare case of necrotizing fasciitis of the entire right hemi-pelvis in a diabetic female
title_fullStr Fournier gangrene: a rare case of necrotizing fasciitis of the entire right hemi-pelvis in a diabetic female
title_full_unstemmed Fournier gangrene: a rare case of necrotizing fasciitis of the entire right hemi-pelvis in a diabetic female
title_short Fournier gangrene: a rare case of necrotizing fasciitis of the entire right hemi-pelvis in a diabetic female
title_sort fournier gangrene: a rare case of necrotizing fasciitis of the entire right hemi-pelvis in a diabetic female
topic Clinical Image
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5806399/
https://www.ncbi.nlm.nih.gov/pubmed/29479450
http://dx.doi.org/10.1093/omcr/omx094
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