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

Year 2014, Volume: 3 Issue: 2, 180 - 182, 01.05.2014

Rüçhan Bahadır Celep Mustafa Özsoy Ahmet Bal Ziya Taner Özkeçeci Ogün Erşen Yüksel Arıkan

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.

Keywords

Fournier's gangrene, necrotizing fasciitis, human immunedeficiency virüs

Normal CD4 Sayılı HIV Pozitif Bir Hastada Fournier Gangreni

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.

Keywords

Fournier gangreni, nekrotizan fasiit, insan bağışıklık yetmezlik virüsü

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