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Critical Point-of-care Ultrasound Diagnosis of Fournier’s Gangrene: A Case Report

INTRODUCTION: Fournier’s gangrene is a severe, necrotizing, and potentially fatal, soft tissue infection of the perineum that can be difficult to diagnose clinically. Point-of-care ultrasound (POCUS) has established a critical role in emergency medicine as a quick diagnostic tool due to its safety,...

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Detalles Bibliográficos
Autores principales: Ramm, Lauren, Guidry, Kayla, Cirilli, Angela, Kurkowski, Ellen, Yu, Connie
Formato: Online Artículo Texto
Lenguaje:English
Publicado: University of California Irvine, Department of Emergency Medicine publishing Western Journal of Emergency Medicine 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8885234/
https://www.ncbi.nlm.nih.gov/pubmed/35226850
http://dx.doi.org/10.5811/cpcem.2021.11.54849
Descripción
Sumario:INTRODUCTION: Fournier’s gangrene is a severe, necrotizing, and potentially fatal, soft tissue infection of the perineum that can be difficult to diagnose clinically. Point-of-care ultrasound (POCUS) has established a critical role in emergency medicine as a quick diagnostic tool due to its safety, accuracy, and cost effectiveness. CASE REPORT: We present a case in which POCUS was used to rapidly confirm diagnosis in an unstable, severely septic patient presenting to the emergency department with Fournier’s gangrene. CONCLUSION: Point-of-care ultrasound can be used to make the diagnosis of Fournier’s gangrene in critical patients when other diagnostic modalities are not feasible due to a patient’s clinical state.