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Fournier's Gangrene at HIV Positive Patient With Normal CD4 Count

Year 2014, , 180 - 182, 01.05.2014
https://doi.org/10.5505/abantmedj.2014.40427

Abstract

Fournier's gangrene mainly seen in men is rapidly progressive necrotizing fasciitis and has a high mortality rate. Although the etiology of Fournier's gangrene is similar to the show soft tissue infections, the disease especially could be mortality in patients with immunosuppressive and diabetes. The main factors in treatment of the disease are early diagnosis, surgical debridement and appropriate antibiotics. In this article we aimed to present developing Fournier’s gangrene in a patient with human immunedeficiency virus HIV positive after iskiorektal abscess drainage and intended to highlight the need for early surgical debridement.

References

  • Thwaini A, Khan A, Malik A, Cherian J, Barua J, Shergill I, Mammen K. Fournier's gangrene and its emergency management. Postgrad Med J 2006; 82(970): 516-9.
  • Morpurgo E, Galandiuk S. Fournier's gangrene. Surg Clin North Am 2002; 82(6): 1213-24.
  • Sroczyński M, Sebastian M, Rudnicki J, Sebastian A, Agrawal AK. A complex approach to the treat- ment of Fournier's gangrene. Adv Clin Exp Med. 2013 Jan-Feb;22(1):131-5.
  • Bjurlin MA, O'Grady T, Kim DY, Divakaruni N, Drago A, Blumetti J, Hollowell CM. Causative patho- gens, antibiotic sensitivity, resistance patterns, and severity in a contemporary series of Fournier's gangrene. Urology. 2013 Apr;81(4):752-8. doi
  • 1016/j.urology.2012.12.041. Epub 2013 Feb 20.
  • Romeo DY, Hervías EA, Lafuente CB, Peña MTM, Sinués EM, Toledo LS. Fournıer ́s Gangrene In A 44- Year-Old Woman: Ct Scan Fındıngs. Arch. Esp. Urol. 2009; 62 (6): 483-5
  • Ndirika SC, Melville R, Green J. Fournier’s gang- rene in a man who was HIV-positive with a high CD4 count. UroToday International Journal;2010;3(5):1- 10.
  • Elem B, Ranjan P. Impact of immunodeficiency virus (HIV) on Fournier's gangrene: observations in Zambia. Ann R Coll Surg Engl 1995; 77: 283-6.
  • Benjelloun el B, Souiki T, Yakla N, Ousadden A, Mazaz K, Louchi A, Kanjaa N, Taleb KA. Fournier's gangrene: our experience with 50 patients and analysis of factors affecting mortality. World J Emerg Surg. 2013 Apr 1;8(1):13. doi: 10.1186/1749- 7922-8-13.
  • Sroczyński M, Sebastian M, Rudnicki J, Sebastian A, Agrawal AK. A complex approach to the treat- ment of Fournier's gangrene. Adv Clin Exp Med. 2013 Jan-Feb;22(1):131-5.
  • Altarac S, Katušin D, Crnica S, Papeš D, Rajković Z, Arslani N. Fournier's gangrene: etiology and out- come analysis of 41 patients. Urol Int 2012; 88(3): 289-93.

Normal CD4 Sayılı HIV Pozitif Bir Hastada Fournier Gangreni

Year 2014, , 180 - 182, 01.05.2014
https://doi.org/10.5505/abantmedj.2014.40427

Abstract

Fournier gangreni, ağırlıklı olarak erkeklerde görülen, hızlı ilerleyen, mortalite oranı yüksek bir nekrotizan fasiittir. Yumuşak doku enfeksiyonları ile benzer etiyoloji göstermesine karşın özellikle immünsüpressif ve diabetli hastalarda hastalık çok daha hızlı seyir göstererek mortal seyreder. Hastalığın tedavisinde ana unsurlar erken tanı, erken cerrahi debritman ve uygun antibiyoterapidir. Bu çalışma predispozan faktör olarak insan immün yetmezlik virusu HIV pozitifliği olan bir hastada iskiorektal apse drenajı sonrasında Fournier gangreni gelişimini aktarmak ve bu hastalarda erken cerrahi debritmanın gerekliliğini vurgulamak amaçlanmıştır.

References

  • Thwaini A, Khan A, Malik A, Cherian J, Barua J, Shergill I, Mammen K. Fournier's gangrene and its emergency management. Postgrad Med J 2006; 82(970): 516-9.
  • Morpurgo E, Galandiuk S. Fournier's gangrene. Surg Clin North Am 2002; 82(6): 1213-24.
  • Sroczyński M, Sebastian M, Rudnicki J, Sebastian A, Agrawal AK. A complex approach to the treat- ment of Fournier's gangrene. Adv Clin Exp Med. 2013 Jan-Feb;22(1):131-5.
  • Bjurlin MA, O'Grady T, Kim DY, Divakaruni N, Drago A, Blumetti J, Hollowell CM. Causative patho- gens, antibiotic sensitivity, resistance patterns, and severity in a contemporary series of Fournier's gangrene. Urology. 2013 Apr;81(4):752-8. doi
  • 1016/j.urology.2012.12.041. Epub 2013 Feb 20.
  • Romeo DY, Hervías EA, Lafuente CB, Peña MTM, Sinués EM, Toledo LS. Fournıer ́s Gangrene In A 44- Year-Old Woman: Ct Scan Fındıngs. Arch. Esp. Urol. 2009; 62 (6): 483-5
  • Ndirika SC, Melville R, Green J. Fournier’s gang- rene in a man who was HIV-positive with a high CD4 count. UroToday International Journal;2010;3(5):1- 10.
  • Elem B, Ranjan P. Impact of immunodeficiency virus (HIV) on Fournier's gangrene: observations in Zambia. Ann R Coll Surg Engl 1995; 77: 283-6.
  • Benjelloun el B, Souiki T, Yakla N, Ousadden A, Mazaz K, Louchi A, Kanjaa N, Taleb KA. Fournier's gangrene: our experience with 50 patients and analysis of factors affecting mortality. World J Emerg Surg. 2013 Apr 1;8(1):13. doi: 10.1186/1749- 7922-8-13.
  • Sroczyński M, Sebastian M, Rudnicki J, Sebastian A, Agrawal AK. A complex approach to the treat- ment of Fournier's gangrene. Adv Clin Exp Med. 2013 Jan-Feb;22(1):131-5.
  • Altarac S, Katušin D, Crnica S, Papeš D, Rajković Z, Arslani N. Fournier's gangrene: etiology and out- come analysis of 41 patients. Urol Int 2012; 88(3): 289-93.
There are 11 citations in total.

Details

Primary Language Turkish
Journal Section Research Article
Authors

Rüçhan Bahadır Celep This is me

Mustafa Özsoy This is me

Ahmet Bal This is me

Ziya Taner Özkeçeci This is me

Ogün Erşen This is me

Yüksel Arıkan This is me

Publication Date May 1, 2014
Published in Issue Year 2014

Cite

APA Celep, R. B., Özsoy, M., Bal, A., Özkeçeci, Z. T., et al. (2014). Normal CD4 Sayılı HIV Pozitif Bir Hastada Fournier Gangreni. Abant Medical Journal, 3(2), 180-182. https://doi.org/10.5505/abantmedj.2014.40427
AMA Celep RB, Özsoy M, Bal A, Özkeçeci ZT, Erşen O, Arıkan Y. Normal CD4 Sayılı HIV Pozitif Bir Hastada Fournier Gangreni. Abant Med J. May 2014;3(2):180-182. doi:10.5505/abantmedj.2014.40427
Chicago Celep, Rüçhan Bahadır, Mustafa Özsoy, Ahmet Bal, Ziya Taner Özkeçeci, Ogün Erşen, and Yüksel Arıkan. “Normal CD4 Sayılı HIV Pozitif Bir Hastada Fournier Gangreni”. Abant Medical Journal 3, no. 2 (May 2014): 180-82. https://doi.org/10.5505/abantmedj.2014.40427.
EndNote Celep RB, Özsoy M, Bal A, Özkeçeci ZT, Erşen O, Arıkan Y (May 1, 2014) Normal CD4 Sayılı HIV Pozitif Bir Hastada Fournier Gangreni. Abant Medical Journal 3 2 180–182.
IEEE R. B. Celep, M. Özsoy, A. Bal, Z. T. Özkeçeci, O. Erşen, and Y. Arıkan, “Normal CD4 Sayılı HIV Pozitif Bir Hastada Fournier Gangreni”, Abant Med J, vol. 3, no. 2, pp. 180–182, 2014, doi: 10.5505/abantmedj.2014.40427.
ISNAD Celep, Rüçhan Bahadır et al. “Normal CD4 Sayılı HIV Pozitif Bir Hastada Fournier Gangreni”. Abant Medical Journal 3/2 (May 2014), 180-182. https://doi.org/10.5505/abantmedj.2014.40427.
JAMA Celep RB, Özsoy M, Bal A, Özkeçeci ZT, Erşen O, Arıkan Y. Normal CD4 Sayılı HIV Pozitif Bir Hastada Fournier Gangreni. Abant Med J. 2014;3:180–182.
MLA Celep, Rüçhan Bahadır et al. “Normal CD4 Sayılı HIV Pozitif Bir Hastada Fournier Gangreni”. Abant Medical Journal, vol. 3, no. 2, 2014, pp. 180-2, doi:10.5505/abantmedj.2014.40427.
Vancouver Celep RB, Özsoy M, Bal A, Özkeçeci ZT, Erşen O, Arıkan Y. Normal CD4 Sayılı HIV Pozitif Bir Hastada Fournier Gangreni. Abant Med J. 2014;3(2):180-2.