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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...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Oxford University Press
2018
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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. |
format | Online Article Text |
id | pubmed-5806399 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Oxford University Press |
record_format | MEDLINE/PubMed |
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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