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Fournier Gangrene (0):
Recent article
Fournier Gangrene
Abstract
Necrotizing soft-tissue infections (NSTIs) are a group of uncommon, rapidly progressive, potentially fatal disorders. The National Surgical Quality Improvement Program (NSQIP) Registry was used to determine current data on the incidence, treatment, and outcomes of NSTIs.
There were 688 NSTI cases id...
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PMID: 21146022
PDF is available here.
PDF is available here.
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Abstract
We describe a case of a six month old infant without immunosuppressant factors, with Founier's gangrene probably associated with nonsteroidal anti-inflammatory intake....
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PMID: 21046720
PDF is available here.
PDF is available here.
Abstract
Cirugía Española (87)4 2010
Abstract
Fournier's gangrene is a rapidly progressing necrotizing fascitis that affects the perineal and genital area. Mortality still remains high. The aim of this study was to evaluate the epidemiological progression and morbidity-mortality of Fournier's gangrene at our centre over the past 10 years.
Retro...
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PMID: 20152961
PDF is available here.
PDF is available here.
Abstract
A 67-year-old male was referred to our hospital with septicemia from necrotizing fasciitis of the genitalia of unknown origin. He had a history of diabetes and cerebral infarction. Extensive debridement of necrotizing tissue was performed over an area extending from the lower abdomen to the light in...
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PMID: 20372049
PDF is available here.
PDF is available here.
International surgery (95)1 2010
Abstract
A 57-year-old man was transferred to our hospital because of gluteal pain. His right buttock had flare and swelling. Complete blood count showed leukocytosis, and renal failure was evident. Pelvic computed tomography (CT) revealed that the abscess, including gas, was widespread into the hypodermal t...
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PMID: 20480846
PDF is available here.
PDF is available here.
Abstract
Mean age was 54.5 years, and the female/male ratio was 6/12. Mortality was observed in 6 (33.3%) patients and was significantly high among females (66.6%) (p=0.035). Mean duration of complaint in the exitus group (9+/-3 days) was higher than in survivors (5+/-3 days) (p=0.018). The most frequent com...
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PMID: 20209400
PDF is available here.
PDF is available here.
Abstract
We report 8 cases of Fournier's gangrene treated at our hospital and affiliated hospitals from 1997 to 2007. There were seven males and one female in the series, and the age range was 23-89 years (mean age 56.6 years). Four patients among them had diabetes mellitus. We rescued all patients by broad-...
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PMID: 19827615
PDF is available here.
PDF is available here.
Abstract
We reviewed 50 cases, male gender was predominant (96%), mean age 47.5 years, diabetes mellitus was found in 80%, neurogenic bladder in 10%, 2% HIV positive. The most frequent sites of origin of infection were scrotum (52%) and perineum (38%), the most common pathogen E. coli and Enterococcus faecal...
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PMID: 19815967
PDF is available here.
PDF is available here.
Abstract
Fournier's gangrene (FG) is a rare and potentially fatal infectious disease characterised by necrotic fasciitis of the perineum and abdominal wall in addition to the scrotum and penis in men and the vulva in women. Skin loss can be very damaging and difficult to repair. This condition must be treate...
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PMID: 19900390
PDF is available here.
PDF is available here.
Abstract
Fournier's gangrene is an entity that can be lethal and it is favoured by several debilitating factors. It is triggered by a urogenital or perirectal disease that has not been treated properly. Because of its poor prognosis, early diagnosis and an appropriate early and aggressive multidisciplinary i...
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PMID: 19900381
PDF is available here.
PDF is available here.
MMW Fortschritte der Medizin (151)34-35 2009
Abstract
Abstract
We present two cases of successfully performed plastic reconstructions of the scrotum using a solely muscular gracilis flap to cover the exposed testicles, followed by a split-skin graft to cover the muscle. The plasticity of the muscle and the variability of flap design resulted along with the tran...
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PMID: 19421949
PDF is available here.
PDF is available here.
Abstract
We report an unusual self-induced traumatic rectal perforation presenting with severe necrotising fasciitis of the lower limb in a 73-year-old Chinese man. Our patient was successfully treated with a multidisciplinary approach that involved a defunctioning colostomy as well as prompt and rigorous de...
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PMID: 19710956
PDF is available here.
PDF is available here.
Abstract
CT scan is considered an excellent diagnostic tool in the management of patients with Fournier's gangrene, as it shows both the origin of the infection and its extent....
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PMID: 19736378
PDF is available here.
PDF is available here.
Abstract
INTRODUCTION: Periproctal abscess is a routine diagnosis of everyday surgical practice. Fournièr's gangrene with progress to the sepsis is one of the most serious complication of this disease. CASE REPORT: The authors present a case review of fulminant surgical infection run as a Fournièr's ga...
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PMID: 19750846
PDF is available here.
PDF is available here.
Abstract
Above the mentioned 39 years old patient died because of septic shock. The hemorrhagic cystitis was the original source of infection with further development of Fournièr gangrene according to the pathological record. CONCLUSION: We often come across all different kinds of stages of sepsis from th...
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PMID: 19750845
PDF is available here.
PDF is available here.
Abstract
Abstract
There were no statistically significant differences between the D and D&HC groups with respect to mean age (p=0.73), sex ratio (p=1.00), diabetes mellitus (p=0.88), concomitant diseases (p=0.57), and number of debridements (p=0.75). The medical and surgical complication and mortality rates and durat...
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PMID: 19669962
PDF is available here.
PDF is available here.
Orvosi Hetilap (150)22 2009
Abstract
Penile deformities and tissue deficiencies can disturb sexual intercourse or make it impossible. The aim of the study is to summarize the different diseases according to their clinical appearance and pathological processes and to review operative methods and personal experiences. Surgical treatment...
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PMID: 19465350
PDF is available here.
PDF is available here.
Klinichna khirurhiia / Ministerstvo okhorony zdorov'ia Ukrainy, Naukove tovarystvo khirurhiv Ukrainy ()5 2009
Abstract
The experience of treatment with favorable outcome of 3 patients, in whom gangrene of Fournier was diagnosed, was summarized.The necessity of application of "agressive" surgical tactics in early terms of the disease was stressed.
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PMID: 19957746
PDF is available here.
PDF is available here.
The Nurse Practitioner (34)5 2009
Abstract
Abstract
Abstract
BJU International (103)7 2009
Abstract
The clinical follow-up was 9 and 6 months, respectively; both patients had satisfactory granulation tissue and proper wound healing. Neither of the patients had infection after surgical debridement with the VHS, even when used in the case of Fournier's gangrene. CONCLUSION: The VHS appears to be eff...
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PMID: 19154501
PDF is available here.
PDF is available here.
Orvosi Hetilap (150)12 2009
Abstract
Fulminant gangrene of the penis was described by Fournier more than two hundred years ago, however, to this day there are a number of controversies regarding its management. The diagnosis of Fournier's gangrene is essentially clinical, and although laboratory and various imaging techniques can be us...
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PMID: 19275972
PDF is available here.
PDF is available here.
Abstract
A total of 22 patients were included in the study. All patients were men of ages ranging from 30 to 75 years. Of the 22 patients, 10 were diabetic, 02 had history of CVA and 10 had no co-morbids. In 10 patients, genitals and anterior abdominal wall was involved whereas 04 patients had genital and pe...
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PMID: 19288943
PDF is available here.
PDF is available here.
Abstract
Abstract
We reported a case of localized Fournier's gangrene of the penis. A 23-year-old man suffered an abrasion of the penis during oral sex with a commercial sex worker. Because pain as well as redness and swelling appeared on the penile surface, he consulted the nearest hospital. Since Fournier's gangren...
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PMID: 19378828
PDF is available here.
PDF is available here.
Abstract
American Surgeon (75)3 2009
Abstract
Medical Science Monitor (15)2 2009
Abstract
In the early stages of the disease, before necrotic lesions occur, a final diagnosis might be difficult. In the present case, death was caused by the patient's advanced age, simultaneously appearing symptoms, and late surgical intervention, but mostly by lung failure....
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PMID: 19179975
PDF is available here.
PDF is available here.
Acta Chirurgica Belgica (109)2 2009
Abstract
Ten males and five females were enrolled in the study. The mean age was 54 years (range 23-81). E. coli and acinetobacter were the common organisms cultured. All patients were treated with a common approach of resuscitation, broad-spectrum antibiotics, and wide surgical excision. Common predisposing...
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PMID: 19499680
PDF is available here.
PDF is available here.
Khirurgiia ()3 2009
Abstract
Data of 17 patients with the Fournier's gangrene are described and analyzed. The incidence of the disease is lesser then 0,09% of patients of urological and proctological departments. Patients with the Fournier's gangrene are to be treated and monitored at the intensive care units. Early and radical...
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PMID: 19365378
PDF is available here.
PDF is available here.
Abstract
Of the 14 patients, 5 died and 9 survived. Mean age was 54 years (range from 41-61): it was 53 years in the group of survivors and 62 years in deceased group. There was a significant difference in leukocyte count between patients who survived (range 4900-17000/mm) and those died (range 20.300-31000/...
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PMID: 19504993
PDF is available here.
PDF is available here.
Srpski arhiv za celokupno lekarstvo (137)7-8 2009
Abstract
INTRODUCTION: Fournier's gangrene (FG) is a fulminant form of infective necrotizing fascitis of the perineal, genital, or perianal regions caused by anorectal or urogenital and perineal trauma, more common in patients with diabetes mellitus and alcohol misuse. Despite contemporary management, mortal...
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PMID: 19764598
PDF is available here.
PDF is available here.
Urologia Internationalis (83)3 2009
Abstract
FG is still a severe disease. Management of this infectious entity must be aggressive. Despite the use of contemporary effective antibiotic treatment, aggressive debridements, and state-of-the-art intensive-care conditions, FG still has high mortality and morbidity rates....
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PMID: 19829034
PDF is available here.
PDF is available here.
Abstract
Journal of Pediatric Surgery (43)12 2008
Abstract
Fournier's gangrene is uncommon in pediatric age group, and little is known about the disease in the newborn period and infancy. Three patients, aged 10 days, 14, and 17 months, with Fournier's gangrene, were treated in our hospital. The predisposing factors were prematurity, a diaper rash, and vari...
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PMID: 19040919
PDF is available here.
PDF is available here.
Mikrobiyoloji bulteni (42)4 2008
Abstract
We present a Fournier's gangrene case caused by Candida albicans. A 59-year-old woman was admitted to hospital with the complaint of swelling on the right thigh following a trauma occurred three weeks ago. Her history revealed that she had been hospitalized previously for four times due to diabetes...
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PMID: 19149096
PDF is available here.
PDF is available here.
Vojnosanitetski pregled (65)10 2008
Abstract
We have treated six patients with FG. We presented the course and positive treatment outcome in a 65-year-old male patient with numerous comorbid conditions, nonregulated insulin-dependent diabetes, hypertension, previous myocardial infarction, chronic viral hepatitis and thrombocytopenia, rehabilit...
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PMID: 19024125
PDF is available here.
PDF is available here.
Journal of Urology (180)3 2008
Abstract
The Fournier's gangrene severity index remains an objective and simple method to quantify the extent of metabolic aberration at presentation in patients with Fournier's gangrene. A Fournier's gangrene severity index threshold value of 9 is sensitive and specific for predicting mortality in this pati...
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PMID: 18635215
PDF is available here.
PDF is available here.
Abstract
We describe three adolescents and young adults who developed scrotal ulcerations during induction with all-trans-retinoic acid. One patient developed FG. These lesions are predominantly seen in Asian population. A good outcome with supportive management occurred in all the cases....
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PMID: 18421710
PDF is available here.
PDF is available here.
Journal of Trauma (65)2 2008
Abstract
Cirugía Española (84)1 2008
Abstract
Fournier's gangrene is a serious disease that occurs in patients with risk factors. Early surgical treatment and broad-spectrum antibiotics are important....
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PMID: 18590672
PDF is available here.
PDF is available here.
New Zealand Medical Journal (121)1275 2008
Abstract
Review of the cases suggests that the Fournier's gangrene is either an idiopathic condition or secondary to adjacent infection or the operation performed. The condition progresses rapidly but is usually self-limiting and most commonly confined to the genitalia. Adequate diagnosis is imperative and i...
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PMID: 18551153
PDF is available here.
PDF is available here.
Abstract
Pathological results indicated cutaneous T-cell lymphoma of the penis. Immunohistochemistry showed CD3 and CD45 RO to be positive, but CD30, CD79a, CD20 and HMB negative. The patient was treated by interferon alpha and ultraviolet B for 2 weeks, followed by total removal of the external genitalia be...
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PMID: 18649756
PDF is available here.
PDF is available here.
Abstract
We diagnosed the illness as Fournier's gangrene. Cystostomy and surgical debridment were performed in conjunction with the use of broad-spectrum antibiotics and anti-DIC therapy. After the general condition improved, the broad defect of perineal skin was covered with a free skin graft by using the n...
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PMID: 18546868
PDF is available here.
PDF is available here.
Abstract
We describe a case of a previously healthy adult who developed fulminant sepsis from Fournier's gangrene caused by a strain of CA-MRSA containing the Panton-Valentine leukocidin genes....
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PMID: 18414076
PDF is available here.
PDF is available here.
Abstract
We report a case of a 32-year-old man with hyper IgE syndrome (Job syndrome) who developed Fournier gangrene due to infectious multiple atheromas of the scrotal skin that progressed to the right groin and thigh. The patient required surgical debridement and subsequent skin grafting. This is a rare c...
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PMID: 18380833
PDF is available here.
PDF is available here.
Abstract
We experienced anesthetic managements of four patients with Fournier syndrome. In the anesthetic management of the patients with Fournier syndrome the following three points should be kept in mind; (a) the necessity of careful preoperative examination, (b) the better anesthesia, and (c) the careful...
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PMID: 18341004
PDF is available here.
PDF is available here.
Atención Primaria (40)3 2008
Abstract
Medical Mycology (46)2 2008
Abstract
We report a patient with non-C. albicans Candida sp. Fournier's gangrene who survived with an appropriate antifungal therapy. Yeasts should be considered as emerging pathogens in pelvic infections due to the increase in long-term immunocompromised patients....
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PMID: 18324496
PDF is available here.
PDF is available here.
MMW Fortschritte der Medizin (150)9 2008
Abstract
Abstract
Fournier gangrene is a rare, but potentially devastating infection. A case is presented and the treatment principles are discussed.
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PMID: 18083136
PDF is available here.
PDF is available here.
Abstract
We describe a case of gas-producing infection following a perianal abscess. A 61-year-old man was admitted to our hospital complaining of perineal pain and was found to have a perianal abscess. He was diabetic but had not received treatment for the disease. Although the perianal abscess was drained...
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PMID: 18297451
PDF is available here.
PDF is available here.
Abstract
All the 74 patients included in this study were males; their mean age was 51+/-10.8 years (21-72 years). The mean duration from the onset of symptoms to admission to the hospital was 3.74+/-2.09 days (1-8 days). The mean hospitalization time was 9.2+/- 6.6 days (1-31). Forty patients (54.05%) had FG...
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PMID: 18480526
PDF is available here.
PDF is available here.
Abstract
Abstract
FG has a high mortality rate, especially in patients with DM and sepsis. An FGSI value> 9 indicates high mortality rate....
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PMID: 18480525
PDF is available here.
PDF is available here.
Khirurgiia ()11 2008
Abstract
Results of treatment of fulminating scrotum gangrene (Fournier disease) in 17 patients at the age of 34-82 years are presented. Bounded (slow progressive) forms were observed in 12 patients, widespread (fulminant and rapidly progressive) forms--in 5 patients. Colorectal pathology as the most likely...
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PMID: 19301497
PDF is available here.
PDF is available here.