Can HALP score, a new prognostic tool, take the place of traditional scoring systems in Fournier’s gangrene?

Keten, Tanju; Ozercan, Ali Yasin; Eroglu, Unsal; Basboga, Serdar; Tatlici, Koray; Senel, Cagdas; Guzel, Ozer; Tuncel, Altug

doi:10.1007/s11255-023-03695-x

Cited by 4 publications

(2 citation statements)

References 32 publications

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“…SFGSI, a simple scoring system, SOFA and quick SOFA, which are used to diagnose sepsis, and ACCI, which is used to predict prognosis, are also useful prognostic predictors of Fournier's gangrene. 5 , 6 , 7 …”

Section: Discussionmentioning

confidence: 99%

A case of successful treatment of Fournier's gangrene through conservative management and elective debridement

Takahashi,

Maruno,

Hazama

et al. 2024

IJU Case Reports

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IntroductionFournier's gangrene refers to a necrotizing fasciitis that mainly affects the perineal region and a condition that requires immediate debridement. This case involved elective debridement of Fournier's gangrene after the general condition was improved through antibiotic treatment instead of requesting an emergency debridement.Case presentationThe patient was an 85‐year‐old man with a performance status of 4 admitted to a nursing home. He was transferred by ambulance with a fever. Blood tests showed a markedly elevated inflammatory response, and computed tomography revealed widespread aerodermectasia around the right testis to the lower abdomen. The patient was diagnosed with Fournier's gangrene. However, his family declined emergency surgical debridement. The patient's general condition was improved with antibiotics, and debridement was eventually performed. After 52 days of hospitalization, the patient was transferred to another hospital.ConclusionThis study describes the successful treatment of Fournier's gangrene through conservative treatment followed by elective debridement.

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Section: Discussionmentioning

confidence: 99%

A case of successful treatment of Fournier's gangrene through conservative management and elective debridement

Takahashi,

Maruno,

Hazama

et al. 2024

IJU Case Reports

View full text Add to dashboard Cite

show abstract

“…Patients suffering from Fournier's gangrene must be given antibiotics as soon as possible. Patients with type 2 diabetes, postponed entrance to healthcare facilities, and sepsis are prone to dying of Fournier's gangrene, the mortality rate being as high as 40 % [ [6] , [7] , [8] ]. Escherichia coli and Bacteroides are the two bacteria that most frequently cause Fournier's gangrene.…”

Section: Introductionmentioning

confidence: 99%