A Study on Fournier’s Gangrene
Journal Title: International Journal of Contemporary Medical Research - Year 2017, Vol 4, Issue 7
Abstract
Introduction: Fournier’s gangrene is a fulminating, rapidly spreading infection which cause thrombosis of blood vessels which results in gangrene of scrotal skin. It affects all age groups and has been reported in both males and females. It is more commonly seen in middle age groups with immunocompromised status like diabetes mellitus,malignancy, alcoholism,chronic renal disease Material and methods: 35 cases of fournier’s gangrene were analyzed. Patient’s history and clinical examination was done to arrive at a diagnosis. Age, etiology, predisposing factors, extent of involvement, Pus culture and sensitivity, lab investigations and surgical outcome were evaluated. Results: The mean age in this study is 55.3yrs, Its found that major predisposing factors are diabetics mellitus and alcoholism, about 15% of the patients where having chronic kidney disease. Only in 17% of cases where there for which no causes could be found out. Pseudomonas where the causative organism for about 40% of the case and e coil was identified in almost 23% of cases, the first culture was found to be sterile In 26% of cases. All patients are treated with appropriate antibiotics and early debridement, among which 3 of them achieved spontaneous healing.15 patients that is around 51% needed delayed suturing and 14 patients needed skin grafting. Conclusion: In Fournier’s gangrene early resuscitation of vitals with transfusion of blood and blood products if needed, the adequate antibiotic care and early extensive thorough wound debridment will certainly improve the outcome.
Authors and Affiliations
G. Karthikeyan, M. Kumarasenthil
Keywords
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