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Fournier’s Gangrene Mimicking Acute Epididymo-Orchitis in an Undiagnosed Diabetic Patient

Fournier’s gangrene (FG) is an infectious disease characterized by necrotizing fasciitis of the perineal, perianal, or genital area associated with aging, male gender, diabetes mellitus (DM), alcoholism, trauma, and immunosuppression states. It can rapidly evolve into sepsis, septic shock, and multi...

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Detalles Bibliográficos
Autores principales: Soares Dionísio, Antony, Duarte, Joana, Guia Lopes, Maria Leonor, Camacho, Cristiana
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9840810/
https://www.ncbi.nlm.nih.gov/pubmed/36654634
http://dx.doi.org/10.7759/cureus.32588
Descripción
Sumario:Fournier’s gangrene (FG) is an infectious disease characterized by necrotizing fasciitis of the perineal, perianal, or genital area associated with aging, male gender, diabetes mellitus (DM), alcoholism, trauma, and immunosuppression states. It can rapidly evolve into sepsis, septic shock, and multiorgan failure with a high mortality rate. We present the case of a 55-year-old man who developed a severe FG, initially assumed as an epididymo-orchitis with new-onset DM. The early identification and treatment resulted in a favorable outcome, being discharged from the hospital after 21 days. Diabetic patients are more susceptible to having severe infections such as FG, hence the importance of adequate metabolic control and increased suspicion to prevent fatal complications.