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Treatment of two cases of Fournier's gangrene and review of the literature.
MedLine Citation:
PMID:  23164064     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Abstract Fournier's gangrene is a rare polymicrobial necrotising soft tissue infection affecting the perineum and scrotum. It is rapidly progressive, destructive and associated with high morbidity and mortality. Management protocol includes prompt diagnosis, early institution of antibiotic therapy and adequate wound debridement, usually requiring multiple operations. Rapid accurate diagnosis is crucial for successful outcome, while early aggressive surgical intervention together with fluid, hemodynamic and nutritional support and broad-spectrum antibiotics are essential to reduce mortality. Dermatologists are often the first specialist consulted. We report two cases of Fournier's Gangrene. The aim of our report is to underline the importance of an immediate diagnostic approach to save patients, favoured by a close collaboration between dermatologist, surgeon and urologist.
Authors:
Rubegni Pietro; Lamberti Arianna; Natalini Ylenia; Fimiani Michele
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-11-19
Journal Detail:
Title:  The Journal of dermatological treatment     Volume:  -     ISSN:  1471-1753     ISO Abbreviation:  J Dermatolog Treat     Publication Date:  2012 Nov 
Date Detail:
Created Date:  2012-11-20     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8918133     Medline TA:  J Dermatolog Treat     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
Department of Clinical Medicine and Immunological Sciences, Dermatology Section, University of Siena, Italy.
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