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Deprecated: Implicit conversion from float 245.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 J+Med+Case+Rep 2018 ; 12 (ä): ä Nephropedia Template TP
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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.