Response to Re: Rapid progression of perianal abscess into Fournier's gangrene

2015 ◽  
Vol 85 (3) ◽  
pp. 198-199 ◽  
Author(s):  
James Wei Tatt Toh
Keyword(s):  
Perianal Abscess ◽  
Fournier’S Gangrene ◽  
Rapid Progression ◽  
Fournier's Gangrene

Re: Rapid progression of perianal abscess into Fournier's gangrene

2015 ◽  
Vol 85 (3) ◽  
pp. 198-198
Author(s):  
Duncan R. Bayne ◽  
Dariush Nikkhah
Keyword(s):  
Perianal Abscess ◽  
Fournier’S Gangrene ◽  
Rapid Progression ◽  
Fournier's Gangrene

Rapid progression of perianal abscess into Fournier's gangrene

2014 ◽  
Vol 85 (3) ◽  
pp. 192-193 ◽  
Author(s):  
James Wei Tatt Toh ◽  
Katherine Gibson ◽  
Bilal Vanlioglu ◽  
Su Ang ◽  
Evonne Ong
Keyword(s):  
Perianal Abscess ◽  
Fournier’S Gangrene ◽  
Rapid Progression ◽  
Fournier's Gangrene

Dangers of delayed diagnosis of perianal abscess and undrained perianal sepsis in Fournier’s gangrene: a case series

2020 ◽  
Vol 13 (10) ◽  
pp. e236503
Author(s):  
Edgardo Solis ◽  
Yi Liang ◽  
Grahame Ctercteko ◽  
James Wei Tatt Toh
Keyword(s):  
Delayed Diagnosis ◽  
Case Series ◽  
Perianal Abscess ◽  
Scoring Systems ◽  
Fournier’S Gangrene ◽  
Necrotising Fasciitis ◽  
Risk Indicator ◽  
Fournier's Gangrene ◽  
Perianal Sepsis

Fournier’s gangrene (FG) is a rapidly progressing infective necrotising fasciitis of the perianal, perineal and genital region. It is characterised by its aggressive nature and high mortality rates of between 15% and 50%. While it has been commonly found to primarily develop from urological sources, there have been increasing reports of the role of colorectal sources as the underlying aetiology of FG. Presented is a case series of four FG presentations at a single institution during a 12-month period as a result of underlying untreated perianal disease highlighting its dangers in progressing to a deadly infection, advocating for early and aggressive surgical debridement, and the role of adjunct scoring systems, such as Laboratory Risk Indicator for Necrotising Fasciitis, in guiding clinical diagnosis.

scholarly journals Profile of patients with Fournier’s gangrene and their clinical evolution

2018 ◽  
Vol 45 (1) ◽  
Author(s):  
DJONEY RAFAEL DOS-SANTOS ◽  
ULISSES LUIZ TASCA ROMAN ◽  
ANDRÉ PEREIRA WESTPHALEN ◽  
KELI LOVISON ◽  
FERNANDO ANTONIO C. SPENCER NETO
Keyword(s):  
Clinical Signs ◽  
Perianal Abscess ◽  
Tertiary Hospital ◽  
Fournier’S Gangrene ◽  
Initial Symptom ◽  
Fournier's Gangrene ◽  
Cross Sectional ◽  
High Prevalence ◽  
The Mean

ABSTRACT Objective: to analyze the profile of patients with Fournier’s gangrene treated in a public tertiary hospital in western Paraná State. Methods: we conducted a cross-sectional, retrospective and descriptive study of patients with Fournier’s gangrene treated between January 2012 and November 2016. Results: there were 40 patients with Fournier’s gangrene treated in the period, 29 (72.5%) men and 11 (27.5%) women. The mean age was 51.7±16.3 years. The mean time of disease progression, from the initial symptom to hospitalization, was 10.5±1.2 days. All patients had clinical signs such as pain, bulging, erythema, among others, and 38 (95%) had associated comorbidities, the most common being type 2 diabetes mellitus and systemic arterial hypertension. The majority (30 patients - 75%) had perianal abscess as the probable etiology. All patients were submitted to antibiotic therapy and surgical treatment, with a mean of 1.8±1.1 surgeries per patient. Nine (22.5%) patients died. There was a strong correlation between the presence of sepsis on admission and mortality. Conclusion: Fournier’s gangrene patients in this series had a long disease duration and a high prevalence of comorbidities, with a high mortality rate.

Fournier's gangrene progressing from the buttocks to the scrotum following a perianal abscess

2008 ◽  
Vol 14 (1) ◽  
pp. 56-58 ◽  
Author(s):  
Yui Sugishita ◽  
Makoto Nagashima ◽  
Mitsuru Ooshiro ◽  
Tasuku Urita ◽  
Ayako Moriyama ◽  
...  
Keyword(s):  
Perianal Abscess ◽  
Fournier’S Gangrene ◽  
Fournier's Gangrene

scholarly journals Treatment of a case of Fournier’s gangrene after a perianal abscess debridement

2020 ◽  
Vol 4 (02) ◽  
pp. 1-3
Author(s):  
Madan Bhandari ◽  
Naveen Rao ◽  
Prasanna Narasimha Rao ◽  
B. J. Gopikrishna
Keyword(s):  
Perianal Abscess ◽  
External Genitalia ◽  
Fournier’S Gangrene ◽  
Cow Milk ◽  
Contributing Factors ◽  
Fournier's Gangrene ◽  
Scrotal Pain ◽  
Secondary Intention ◽  
Healing Property ◽  
Many Sources

Fournier’s gangrene is rapidly progressive and potentially fatal infective necrotising fasciitis affecting the external genitalia, perineal or perianal regions. Among many sources of infection, perianal surgical manipulation is one of the major contributing factors. A 45-years diabetic patient who had recently undergone surgical debridement elsewhere to treat a perianal abscess visited SDM Ayurvedic hospital with mild scrotal pain and an unhealthy surgical wound. He was treated surgically with broad-spectrum antibiotics, strict control of hyperglycemia, regular minimum debridement of wound and dressing with a Yashtimadhu taila (an herbal oil with Glycyrrhiza glabra, Emblica officinalis, Sesamum indicum and cow milk as active ingredients) famous for its wound healing property. The patient gradually recovered and the wound was gradually healed with secondary intention.

scholarly journals A CASE OF FOURNIER'S GANGRENE POSSIBLY CAUSED BY A PERIANAL ABSCESS

1997 ◽  
Vol 58 (11) ◽  
pp. 2721-2726 ◽  
Author(s):  
Yoriyuki TSUJI ◽  
Masahiro TAKANO ◽  
Jouji KUROMIZU ◽  
Kouichi TAKAGI
Keyword(s):  
Perianal Abscess ◽  
Fournier’S Gangrene ◽  
Fournier's Gangrene

scholarly journals Fournier’s gangrene by perianal abscess

2020 ◽  
Vol 40 (4) ◽  
pp. 334-338
Author(s):  
Natiele Santos de Souza ◽  
Djoney Rafael dos Santos ◽  
André Pereira Westphalen ◽  
Fernando Antonio Campelo Spencer Netto
Keyword(s):  
Perianal Abscess ◽  
Fournier’S Gangrene ◽  
Fournier's Gangrene

scholarly journals Successful Treatment of a Severe Case of Fournier's Gangrene Complicating a Perianal Abscess

2011 ◽  
Vol 2011 ◽  
pp. 1-4 ◽  
Author(s):  
Ioannis Papaconstantinou ◽  
Anneza I. Yiallourou ◽  
Nicolaos Dafnios ◽  
Irini Grapsa ◽  
George Polymeneas ◽  
...  
Keyword(s):  
Broad Spectrum ◽  
Perianal Abscess ◽  
Severe Case ◽  
Fournier’S Gangrene ◽  
Surgical Debridement ◽  
Fournier's Gangrene ◽  
Open Drainage ◽  
Left Testicle ◽  
Broad Spectrum Antibiotics ◽  
Nephritic Syndrome

A 67-year-old male patient with diabetes mellitus and nephritic syndrome under cortisone treatment was admitted to our hospital with fever and severe perianal pain. Upon physical examination, a perianal abscess was identified. Furthermore, the scrotum was gangrenous with extensive cellulitis of the perineum and left lower abdominal wall. Crepitations between the skin and fascia were palpable. A diagnosis of Fournier's gangrene was made. He was treated with immediate extensive surgical debridement under general anesthesia. The patient received broad-spectrum antibiotics, and repeated extensive debridements were performed until healthy granulation was present in the wound. Due to the fact that his left testicle was severely exposed, it was transpositioned into a subcutaneous pocket in the inner side of the left thigh. He was finally discharged on the 57th postoperative day. Fournier's gangrene is characterized by high mortality rates, ranging from 15% to 50% and is an acute surgical emergency. The mainstay of treatment should be open drainage and early aggressive surgical debridement of all necrotic tissue, followed by broad-spectrum antibiotics therapy.

scholarly journals Fournier's gangrene and perianal abscess: Is there a common denominator?

2017 ◽  
Vol 14 (1) ◽  
pp. 53
Author(s):  
AjibolaEmmanuel Jeje ◽  
BolajiO Mofikoya ◽  
AbisolaE Oliyide
Keyword(s):  
Perianal Abscess ◽  
Fournier’S Gangrene ◽  
Common Denominator ◽  
Fournier's Gangrene
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