Fournier's gangrene in a patient after third-degree burns: a case report

Iavazzo, Christos; Kalmantis, K; Anastasiadou, Vasiliki; Mantzaris, George; Koumpis, Vallantis; Ntziora, Fotinie

doi:10.1186/1752-1947-3-7264

Cited by 6 publications

(10 citation statements)

References 8 publications

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“…[6,7]The most frequent bacteria are Escherichia coli, Enterococcus faecalis, Bacteroides fragilis, streptococcus, and staphylococcus. [1,4,7,9,11,15] Klebsiella, Pseudomonas, and Proteus are also reported, as are Candida and MRSA. [3,15] Clinical presentation…”

Section: Epidemiologymentioning

confidence: 97%

“…Fournier's gangrene might be the sole expression of an underlying malignancy. [11] Diabetes mellitus is present in 50% which makes it the most common comorbidity. [8,12] This might be explained by the diabetic microangiopathy that is coupled with an increased propensity to tissue ischemia.…”

Section: Epidemiologymentioning

confidence: 99%

“…When the penis is involved, the corpora are usually spared while the skin is destroyed. [11] Fournier's gangrene is typically a communityacquired polymicrobial infection, showing a mean microbial number of two to four organisms identified through cultures. [6] The organisms tend to be normal commensals of the perineum and genitalia, which become virulent because of impaired host immunity.…”

Section: Epidemiologymentioning

confidence: 99%

“…[1] Fournier's gangrene may spread rapidly to the anterior abdominal wall, the gluteal muscles, and in males onto the scrotum and penis. [11] In Fournier's gangrene of colorectal origin, especially if traumatic, infection usually progresses first to Colles' fascia. [3,5,13] From the superficial perineal fascia, the necrotizing fasciitis can spread to Buck's fascia of the penis, the Dartos fascia of the scrotum, and to the Scarpa fascia of the anterior abdominal wall.…”

Section: Epidemiologymentioning

confidence: 99%

“…[6] Urinary or fecal diversion may be needed depending on the source of infection. [3,6,11] In the case of urethral or penile involvement, urinary diversion can be performed in the form of a catheterization. [1,7] Colostomy is reserved for selected cases with involvement of anorectal area and anal sphincter with high risk of fecal contamination.…”

Section: Managementmentioning

confidence: 99%

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Fournier’s gangrene: a fulminant subcutaneous infection

Somville¹,

Swerts

Vandamme

et al. 2016

Acta Chirurgica Belgica

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A 73-year-old man with a history of diabetes was urgently referred to our emergency department because of severe pain of his genitalia and pubical region. Physical examination revealed an extensive subcutaneous emphysema and edema of his abdomen. Computer tomography confirmed an extensive necrotizing fasciitis, diagnosed as Fournier's gangrene. Despite the efforts made, the patient did not survive. And a review of the medical approach of this short of a life-threatening form of necrotizing soft tissue infection with a high mortality rate.

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Section: Epidemiologymentioning

confidence: 97%

Section: Epidemiologymentioning

confidence: 99%

Section: Epidemiologymentioning

confidence: 99%

Section: Epidemiologymentioning

confidence: 99%

Section: Managementmentioning

confidence: 99%

See 3 more Smart Citations

Fournier’s gangrene: a fulminant subcutaneous infection

Somville¹,

Swerts

Vandamme

et al. 2016

Acta Chirurgica Belgica

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Fournier's gangrene

2013

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Factors Associated With Mortality Following Burns Complicated by Necrotizing Skin and Soft Tissue Infections: A Systematic Review and Meta-Analysis of Individual Participant Data

Klifto

Gurno

Seal

et al. 2021

Journal of Burn Care &Amp; Research

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We reviewed studies with individual participant data of patients who sustained burn injury and subsequently developed necrotizing skin and soft tissue infections (NSTI). Characteristics and managements were compared between patients who lived and patients who died to determine factors associated with mortality. Six databases (PubMed, EMBASE, Cochrane Library, Web of Science, Scopus and CINAHL) were searched. PRISMA-IPD guidelines were followed throughout the review. Eligible patients sustained a burn injury, treated in any setting, and diagnosed with a NSTI following burn injury. Comparisons were made between burned patients who lived “non-mortality” and burned patients who died “mortality” following NSTI using non-parametric univariate analyses. Fifty-eight studies with 78 patients were published from 1970 through 2019. Non-mortality resulted in 58 patients and mortality resulted in 20 patients. Patients with mortality had significantly greater median %TBSA burned (45%[IQR:44-64%] versus 35%[IQR:11-59%],p=0.033), more intubations (79% versus 43%,p=0.013), less debridements (83% versus 98%,p=0.039), less skin excisions (83% versus 98%,p=0.039), more complications (100% versus 50%,p<0.001), management at a burn center (100% versus 71%,p=0.008), underwent less flap surgeries (5% versus 35%,p=0.014), less graft survival (25% versus 86%,p<0.001), and less healed wounds (5% versus 95%,p<0.001), compared to patients with non-mortality, respectively. Non-mortality patients had more debridements, skin excised, systemic antimicrobials, skin graft survival, flaps, improvement following surgery and healed wounds compared to mortality patients. Mortality patients had greater %TBSA burned, intubations, management at a burn center and complications compared to non-mortality patients.

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Fournier's gangrene in a patient after third-degree burns: a case report

Cited by 6 publications

References 8 publications

Fournier’s gangrene: a fulminant subcutaneous infection

Fournier’s gangrene: a fulminant subcutaneous infection

Fournier's gangrene

Factors Associated With Mortality Following Burns Complicated by Necrotizing Skin and Soft Tissue Infections: A Systematic Review and Meta-Analysis of Individual Participant Data

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