It progresses rapidly and its etiology is polymicrobial. A complex approach to the treatment of fourniers gangrene. Fournier gangrene is a complex, not common, but potentially fatal necrotizing infection which was first described by baurienne in 1764, and later by j. The colles fascia is attached laterally to the pubic rami and fascia lata and. Yoandra benitez gonzalez 1, julio sago mendez 2, arnel pupo ricardo 3, maricela fernandez cuenca 4, ernesto andres infante pupo 5. Fournier gangrene associated with sodiumglucose cotransporter.
The bacteria, aerobic and anaerobic, act synergically, causing great tissue destruction, and escherichia coli is the most frequently identified microbe. Fourniers gangrene fg is a type of necrotizing fasciitis of the perineal. Fournier s gangrene fg is a rapid progressive bacterial infection that involves the subcutaneous fascia and part of the deep fascia but spares the muscle in the scrotal, perianal and perineal. Inflammation and edema from infection result in an impaired local blood supply, leading to vascular thrombosis in the. Profile of patients with fourniers gangrene and their clinical evolution. Contemporary diagnosis and management of fourniers gangrene. Fourniers gangrene caused by streptococcus anginosus, a rare. Fourniers gangrene caused by streptococcus anginosus, a. Fournier s gangrene is a necrotizing fasciitis of the genital area.
It is a rapidly progressing, polymicrobial necrotizing fasciitis of the perineal, perianal, and genital regions, with a mortality rate ranging from 15% to 50%, 1, 4. Among about 45 000 patients hospitalized in our department between 1995 and 20, we diagnosed and treated cases of fourniers. A complex approach to the treatment of fournier s gangrene. A free powerpoint ppt presentation displayed as a flash slide show on id. A simplified prognostic scoring system for fourniers gangrene. Fourniers gangrene is a necrotizing fasciitis of the genital area. Pdf profile of patients with fourniers gangrene and their clinical. Fourniers gangrene fg is a severe infectious disease of soft tissues, of fast. Fournier gangrene represents a urologic emergency with a potentially high mortality rate. A simplified prognostic scoring system for fourniers gangrene 80 coriht.
Necrotizing fascitis, hospital gangrene and phagedena lancet 1994. Es una enfermedad poco frecuente, pero potencialmente letal. Profile of patients with fourniers gangrene and their. Involucra una infeccion bacteriana del tracto urinario y causa dolor, edema y eritema. Ariel nunez roca,ll dra josina kapaxi andrade,lll dra.