Fournier's gangrene: a highly invasive necrotizing fasciitis. Case report
Keywords:
Case reports, Diagnosis, Fournier's gangrene, Necrotizing fasciitis, Postoperative, Case reports; Diagnosis; Fournier's gangrene; Necrotizing fasciitis; Postoperative; Surgical proceduresAbstract
Introduction: Fournier's gangrene is a highly invasive necrotizing fasciitis of the perineal, genital and perianal regions, which can sometimes extend to the abdominal wall as a result of a polymicrobial infection in most cases.
Objective: to present the clinical-surgical evolution of Fournier's gangrene in a 69 years old male patient.
Case presentation: the case of a white male patient, 69 years old and from a rural background, with an individual pathological history of arterial hypertension, diabetes mellitus and ischemic heart disease in the form of an acute myocardial infarction is described. He came to the consultation due to severe scrotal pain, with a change in color and foul-smelling secretions in the right hemiescrotum, which had been going on for two days. Once the diagnosis was established, taking into account the clinical data, together with the performance of complementary tests such as complete blood count and soft tissue x-ray, emergency surgery was decided, which was successful, however, the patient did not recover. of the toxic infectious condition and on the fifth day of evolution in the Intensive Care Unit, he died.
Conclusions: Fournier's gangrene is a highly invasive infection. The case of a patient who presented with clinical and paraclinical characteristics of this disease was presented, who died on his fifth postoperative day.
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