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10.1186/s13256-018-1697-9

http://scihub22266oqcxt.onion/10.1186/s13256-018-1697-9
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C6020361!6020361!29945675
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suck abstract from ncbi


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pmid29945675      J+Med+Case+Rep 2018 ; 12 (ä): ä
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  • Successful treatment following early recognition of a case of Fournier?s scrotal gangrene after a perianal abscess debridement: a case report #MMPMID29945675
  • Chen Y; Wang X; Lin G; Xiao R
  • J Med Case Rep 2018[]; 12 (ä): ä PMID29945675show ga
  • Background: Fournier?s gangrene is an acute surgical emergency characterized by high mortality rates ranging from approximately 13%?to 45%. Therefore, aggressive multidisciplinary management is necessary. Case presentation: A 29-year-old Asian man who had undergone surgical debridement at another hospital to treat a perianal abscess 5 days earlier was admitted to our hospital for severe scrotal and perianal pain, swelling, and high fever. A physical examination revealed a perianal abscess. Furthermore, the scrotum was gangrenous and exhibited extensive cellulitis in the perineum and bilateral inguinal area. Crepitations between the skin and fascia were palpable. A diagnosis of Fournier?s gangrene was made. The patient was treated with immediate surgical debridement under general anesthesia. He received broad-spectrum antibiotics, and debridement was repeated until the wound exhibited healthy granulation. Because both testes were severely exposed, they were transpositioned back into the scrotum 1 week after surgery. The patient was discharged on the 11th postoperative day. Conclusions: The mainstay of treatment for Fournier?s gangrene should include fluid resuscitation, broad-spectrum antibiotic therapy, intensive care, nutritional support, and early aggressive surgical debridement of all necrotic tissue. Electronic supplementary material: The online version of this article (10.1186/s13256-018-1697-9) contains supplementary material, which is available to authorized users.
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