Document Detail


Fournier's gangrene in elderly patient: report of a case.
MedLine Citation:
PMID:  21921428     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Fournier's gangrene (FG) is rapidly progressing acute gangrenous infection of the anorectal and urogenital area. FG needs precocious diagnosis and aggressive treatment with the use of wide spectrum antibioticus and surgical debridement. In our case, a 91-year-old Japanese female who had rehabilitation after treatment of pneumonia and her past history was rheumatoid arthritis treated with steroid and chronic heart failure. Her activities of daily living was bedridden with dementia. Necrotic skin was observed in urogenital and anorectal area and skin redness enlarged to the hip with high fever. Surgical debridement was performed. Both Peptostreptococcus Sp. and Fusobacterium Sp. was cultured from resected necrotic tissue. We used antibioticus, PAPM and PIPC, which had sensitivity for them. But unfortunately, disseminated intravascular coagulation occurred after 4th day of operation, and finally she died after 10th day of operation. We discussed the treatment for FG in patient with complication. J. Med. Invest. 58: 255-258, August, 2011.
Authors:
Hajime Nakatani; Shinichi Hamada; Toyotake Okanoue; Akihiro Kawamura; Takashi Chikai; Shinya Yamamoto; Yuichiro Inoue; Kazuhiro Hanazaki
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The journal of medical investigation : JMI     Volume:  58     ISSN:  1349-6867     ISO Abbreviation:  J. Med. Invest.     Publication Date:  2011 Aug 
Date Detail:
Created Date:  2011-09-16     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9716841     Medline TA:  J Med Invest     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  255-8     Citation Subset:  IM    
Affiliation:
Department of Surgery, Kubokawa Hospital.
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