Fournier gangrene: a rare case of necrotizing fasciitis of the entire right hemi-pelvis in a diabetic female

Oxford Medical Case Reports
Gregory M Taylor, David V Hess

Abstract

Fournier's gangrene, a rare polymicrobial infection that affects the genitals and perineum, can present as an insidious onset to a rapid and fulminant course. Early recognition, diagnosis, initiation of broad-spectrum antibiotics and prompt surgical treatment remain the foundation of management. If treatment is not initiated aggressively, the patient will likely rapidly deteriorate, leading to organ failure and death. We present the case of a 58-year-old diabetic female presenting febrile, hypoxic, with severe respiratory distress and evidence of septic shock, found to have necrotizing fasciitis of the entire right hemi-pelvis. Despite rapid recognition, IV antibiotics and operative management, the patient went to the intensive-care unit on multiple pressors and died 24 h later.

References

Feb 1, 2007·Rheumatology International·Ilaria TinazziDomenico Biasi
Mar 17, 2009·The Journal of Urology·Mathew D SorensenHunter Wessells
Oct 8, 2015·The American Journal of Psychology·Mark D Davis

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Citations

Jul 23, 2019·The Journal of Dermatological Treatment·Mohamed M Khater, Fathia M Khattab
Mar 2, 2021·World Journal of Clinical Cases·Agnieszka GrabińskaTomasz Ząbkowski

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