scholarly journals Fournier’S Gangrene Caused byListeria Monocytogenesas the Primary Organism

2015 ◽  
Vol 26 (1) ◽  
pp. 44-46 ◽  
Author(s):  
Sayaka Asahata ◽  
Yuji Hirai ◽  
Yusuke Ainoda ◽  
Takahiro Fujita ◽  
Yumiko Okada ◽  
...  
Keyword(s):  
Tongue Cancer ◽  
Rectal Adenocarcinoma ◽  
Fournier’S Gangrene ◽  
Fournier's Gangrene ◽  
Daily Consumption ◽  
Travel History ◽  
Direct Invasion ◽  
History Of ◽  
Raw Fish ◽  
Serotype 4B

A 70-year-old man with a history of tongue cancer presented with Fournier’s gangrene caused byListeria monocytogenesserotype 4b. Surgical debridement revealed undiagnosed rectal adenocarcinoma. The patient did not have an apparent dietary or travel history but reported daily consumption of sashimi (raw fish).Old age and immunodeficiency due to rectal adenocarcinoma may have supported the direct invasion ofL monocytogenesfrom the tumour. The present article describes the first reported case of Fournier’s gangrene caused byL monocytogenes. The authors suggest that raw ready-to-eat seafood consumption be recognized as a risk factor for listeriosis, especially in cases of skin and soft tissue infection.

Rectal Adenocarcinoma Presenting as Fournier’s Gangrene

2020 ◽  
pp. 000313482098320
Author(s):  
Hugo Villanueva ◽  
Anthony Lam ◽  
William Aukerman ◽  
Adrian Lowenfeld ◽  
Paul Meade
Keyword(s):  
Rectal Adenocarcinoma ◽  
Fournier’S Gangrene ◽  
Fournier's Gangrene

scholarly journals Treatment of Complete Anal Stricture after Diverting Colostomy for Fournier’s Gangrene

2017 ◽  
Vol 2017 ◽  
pp. 1-3
Author(s):  
Kenji Okumura ◽  
Tadao Kubota ◽  
Kazuhiro Nishida ◽  
Alan Kawarai Lefor ◽  
Ken Mizokami
Keyword(s):  
Soft Tissues ◽  
Fournier’S Gangrene ◽  
Colostomy Closure ◽  
Anal Stenosis ◽  
Fournier's Gangrene ◽  
Anal Stricture ◽  
Internal Hemorrhoids ◽  
Old Japanese ◽  
History Of ◽  
Diverting Colostomy

Background. Anal stenosis is a rare but serious complication of anorectal surgery. Severe anal stenosis is a challenging condition. Case Presentation. A 70-year-old Japanese man presented with a ten-hour history of continuous anal pain due to incarcerated hemorrhoids. He had a history of reducible internal hemorrhoids and was followed for 10 years. He had a fever and nonreducible internal hemorrhoids surrounding necrotic soft tissues. He was diagnosed as Fournier’s gangrene and treated with debridement and diverting colostomy. He needed temporary continuous renal replacement therapy and was discharged on postoperative day 39. After four months, severe anal stenosis was found on physical examination, and total colonoscopy showed a complete anal stricture. The patient was brought to the operating room and underwent colostomy closure and anoplasty. He recovered without any complications. Conclusion. We present a first patient with a complete anal stricture after diverting colostomy treated with anoplasty and stoma closure. This case reminds us of the assessment of distal bowel conduit and might suggest that anoplasty might be considered in the success of the colostomy closure.

A case of Fournier’s gangrene diagnosed with POCUS

POCUS Journal ◽  
2019 ◽  
Vol 4 (1) ◽  
pp. 3
Author(s):  
Marco Badinella Martini, MD ◽  
Antonello Iacobucci, MD
Keyword(s):  
Type 2 Diabetes ◽  
Emergency Department ◽  
Alzheimer Disease ◽  
Physical Examination ◽  
Subcutaneous Emphysema ◽  
Vital Signs ◽  
Fournier’S Gangrene ◽  
Fournier's Gangrene ◽  
History Of

An 87-year-old man with a history of type 2 diabetes and severe Alzheimer disease was admitted to the emergency department with a lesion of the perineum for two days. The patient appeared agitated and not collaborating on the visit. His vital signs were normal. Physical examination revealed an edematous, suppurative, and foul-smelling perineal-scrotal lesion, with possible subcutaneous emphysema.

scholarly journals Coexistence of human immuno deficiency virus, diabetes mellitus, epididymal cysts, and Fournier's gangrene: A case report

2021 ◽  
Vol 38 (4) ◽  
pp. 669-671
Author(s):  
Evrim KAR ◽  
Hatice Şeyma AKÇA ◽  
Serdar ÖZDEMİR ◽  
Abdullah ALGIN ◽  
Serkan Emre EROĞLU
Keyword(s):  
Case Report ◽  
Subcutaneous Tissue ◽  
Fournier’S Gangrene ◽  
Clinical Suspicion ◽  
Perianal Region ◽  
Fournier's Gangrene ◽  
Human Immuno Deficiency Virus ◽  
Immunodeficiency Virus ◽  
History Of ◽  
Artery Disease

Fournier's gangrene (FG) is a form of necrotizing fasciitis that is localized in the external genital organs and perianal region and causes skin and subcutaneous tissue gangrene. The clinical picture may vary depending on the patient's comorbidities and the extent of infection; Many predisposing conditions such as immunodeficiency, diabetes, alcoholism encourage the spread of the infection. In this case report, we highlighted the importance of emergency debridement in patients with multiple comorbidities by presenting the Fournier's Gangrene case in a 57-year-old immunosuppressive male patient with cystic lesions in the epididymis, with a history of hypertension, coronary artery disease, diabetes, HIV (human immunodeficiency virus) and a history of bipolar disorder. The patient, who was operated on for debridement by the urology, was given 1x500mg daptomycin, 3x1g meropenem, 3x450mg clindamycin IV treatment. The patient was discharged with full recovery after 17 days of hospitalization. Clinical suspicion in Fournier's gangrene cases, early surgical debridement, and extended-spectrum anti biotherapy are important. with rapid diagnosis and treatment in patients with improvement can also be seen in patients with comorbidities.

scholarly journals Perforated appendicitis as a source of Fournier’s gangrene in an immunocompetent male

2019 ◽  
Vol 6 (10) ◽  
pp. 3813
Author(s):  
Nasser Alzerwi Alzerwi ◽  
Mohammed Alshanwani ◽  
Afnan Sultan Alsultan ◽  
Sulaiman Almutairi ◽  
Yasser Ibrahim Aldebasi ◽  
...  
Keyword(s):  
Emergency Department ◽  
Abdominal Pain ◽  
Perforated Appendicitis ◽  
Rare Condition ◽  
Immunocompetent Patient ◽  
Fournier’S Gangrene ◽  
Critical Importance ◽  
Fournier's Gangrene ◽  
History Of ◽  
Scrotal Swelling

Fournier’s gangrene is a synergetic polymicrobial necrotizing fasciitis of the perianal, perineal and genital areas, it is a rare condition and it has a high mortality rate of up to 67%. Acute appendicitis has been identified as another cause of Fournier’s gangrene. This case demonstrates the critical importance of considering a diagnosis of Fournier’s gangrene because of a missing diagnosis of appendicitis even if the patient is young, healthy, immunocompetent and without a background of abdominal pain. We discuss a case of 35-year-old male, immunocompetent and medically free, who was presented to Emergency Department with a clinical picture of Fournier’s gangrene due to acute perforated appendicitis without a history of abdominal pain, and within 48 hours of the onset of bilateral scrotal swelling. Our case demonstrates the importance of considering Fournier’s gangrene as a complication of an intra-abdominal septic process, even in a young, healthy, immunocompetent patient.

Outcome management of Fournier’s gangrene cases at tertiary hospital: 7 Years experience

2021 ◽  
pp. 039156032110464
Author(s):  
Soetojo Wirjopranoto ◽  
Yufi Aulia Azmi
Keyword(s):  
General Hospital ◽  
Severity Index ◽  
The Elderly ◽  
Tertiary Hospital ◽  
Fournier’S Gangrene ◽  
Fournier's Gangrene ◽  
Management Culture ◽  
Outcome Management ◽  
History Of ◽  
Analytic Design

Objective: This study aims to describe the condition of Fournier’s gangrene in Dr. Soetomo General Hospital from January 2014 to December 2020. Material and methods: This study used a retrospective analytic design, by taking data through medical records at Dr. Soetomo General Hospital from January 2014 to December 2020. This study used total sampling with recorded data: age, gender, length of stay, outcome, location, comorbidities, causes, management, culture results, and Fournier’s gangrene severity index (FGSI) score. Result: Of the 135 subjects collected, it was found that 55.56% were individuals over 50 years of age. About 91.11% were male patients, with some sites being in the scrotum 50.37%. Only 25.19% of patients had no comorbids, while the rest had a history of CKD, hypertension, diabetes, or a combination of these diseases. Bacterial cultures obtained were mostly caused by the Enterobacteriaceae bacteria group (32.59%). Of the subjects we studied who experienced mortality, it was found that all were from the group with FGSI >9. Conclusion: From the results of our descriptive study, at a glance, it appears that there is a tendency for the incidence of Fournier’s gangrene in the elderly and individuals with comorbidities. And the mortality rate increases with a high FGSI value. So that FGSI could be used as a predictor of mortality in patients with FG.

scholarly journals Fournier’s gangrene and intravenous drug abuse: an unusual case report and review of the literature

Open Medicine ◽  
2019 ◽  
Vol 14 (1) ◽  
pp. 694-710
Author(s):  
Michele Del Zingaro ◽  
Andrea Boni ◽  
Jacopo Adolfo Rossi De Vermandois ◽  
Alessio Paladini ◽  
Emanuele Lepri ◽  
...  
Keyword(s):  
Case Report ◽  
Methadone Maintenance ◽  
Subcutaneous Fat ◽  
External Genitalia ◽  
Fournier’S Gangrene ◽  
Review Of The Literature ◽  
Fournier's Gangrene ◽  
History Of ◽  
Subcutaneous Fat Tissue ◽  
Unusual Case Report

AbstractFournier’s gangrene is a potentially fatal emergency condition characterized by necrotizing fasciitis and supported by an infection of the external genital, perineal and perianal region, with a rapid and progressive spread from subcutaneous fat tissue to fascial planes.In this case report, a 52-year-old man, with a history of hepatitis C-virus (HCV)-related chronic liver disease and cocaine use disorder for which he was receiving methadone maintenance therapy, was admitted to the Emergency Department with necrotic tissue involving the external genitalia.Fournier’s gangrene is usually due to compromised host immunity, without a precise cause of bacterial infection; here it is linked to a loco-regional intravenous injection of cocaine. A multimodal approach, including a wide surgical debridement and a postponed skin graft, was needed. Here we report this case, with a narrative review of the literature.

scholarly journals Extensive Fournier’s Gangrene in a Patient with Type 2 Diabetes

2015 ◽  
Vol 11 (02) ◽  
pp. 83
Author(s):  
René Rodríguez-Gutiérrez ◽  
Gloria Gonzalez Saldivar ◽  
Jose Gerardo Gonzalez Gonzalez ◽  
Margo S Hudson ◽  
◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Necrotizing Fasciitis ◽  
Fournier’S Gangrene ◽  
Response To Treatment ◽  
Intravenous Fluids ◽  
Fournier's Gangrene ◽  
Life Threatening ◽  
History Of ◽  
Prompt Diagnosis

Necrotizing fasciitis is one of the best-known soft tissue infections. Fournier’s gangrene is a type of necrotizing fasciitis of the genital, perianal, and perineal regions caused by the infection of multiple anerobic/aerobic microorganisms. We present the case of a 47-year-old man with a history of uncontrolled type 2 diabetes who presented to the emergency room with intense abdominal pain and signs of severe sepsis. A prompt diagnosis of a necrotizing fasciitis of the perineum (Fournier’s gangrene) was made and immediately broad-spectrum antibiotics, intravenous fluids, and surgical debridement were administered. The patient had an impressive response to treatment with resolution sepsis and was discharged 4 weeks after a skin graft of the abdominal and perineal areas. Fournier’s gangrene remains a life-threatening and many times fulminant disease in which a high grade of suspicion is needed for its diagnosis and rapid and assertive treatment for its survival.

scholarly journals Fournier’s gangrene in females: A rare entity

2021 ◽  
pp. 348-350
Author(s):  
A Prem Kumar ◽  
Sandesh Gopalakrishnan Nair
Keyword(s):  
Abrupt Onset ◽  
Fournier’S Gangrene ◽  
Purulent Discharge ◽  
Deep Fascia ◽  
Fournier's Gangrene ◽  
Urogenital Infections ◽  
History Of ◽  
Necrotizing Fascitis ◽  
Perineal Region ◽  
History Of Pain

Fournier’s gangrene is a form of necrotizing fascitis with abrupt onset of rapidly fulminating genital gangrene of idiopathic origin and gangrene up to deep fascia. It occurs usually in patients with urogenital infections and comorbidities such as diabetes, immunosuppression, or even trauma. Here, we present one such case of an 86-year-old female presenting with a history of pain and purulent discharge from the perianal region for 5 days. On examination, a wound of 20 × 15 cm perineal region extending up to the gluteal region posteriorly and labia majora anteriorly. The patient was planned for debridement under spinal anesthesia on an emergency basis followed by regular dressing and antibiotic therapy. The peri-operative period was uneventful. Along with surgical management, the patient was managed medically by control of sugars, treating sepsis with appropriate antibiotics. The patient recovered from sepsis, and the wound showed granulation tissue after 1 week of serial debridement. The wound was closed with a skin graft at a later date. Fournier’s gangrene should be kept as a differential diagnosis in females with perineal abscesses or necrotizing fascitis in females.

scholarly journals A Type 2 Diabetes Patient who Suffered with Fournier’s Gangrene

2021 ◽  
Vol 2 (1) ◽  
pp. 6
Author(s):  
Kholidatul Husna ◽  
Hermina Novida
Keyword(s):  
Diabetes Mellitus ◽  
Diabetes Patient ◽  
Fournier’S Gangrene ◽  
Risk Of Infection ◽  
Fournier's Gangrene ◽  
Drainage Procedure ◽  
Incision And Drainage ◽  
Uncontrolled Diabetes ◽  
History Of

Diabetes mellitus increases the risk of infection, including Fournier’s gangrene. Fournier’s gangrene (FG) is a rare case, with an average incidence of 1.6 cases per 100,000 population per year. We report a case of a 60 year old male, presented with the history of wounds of the buttocks, penis and scrotum. The patient had a history of uncontrolled diabetes mellitus for 3 years. There were perianal abscesses and necrotic tissue on the penis and scrotum. Radiological evaluation in the patient showed the present of gas forming in scrotal area. Therefore, incision and drainage procedure with necrotomy and debridement were performed, together with antibiotics and blood glucose regulation, then followed by closure of the defect with skin graft and use of flap. The patient was discharge with an improved clinical condition.

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