Abstract
Fournier gangreni (FG), perianal ve genital bölgeyi etkileyen nekrotizan fasiit ile karakterize mikrobiyal bir enfeksiyöz hastalıktır. Hastaların büyük bir kısmında diyabet, sigara, alkol ve madde bağımlılığı, obezite, periferik damar hastalığı, travma, üretral darlık gibi nekrotizan fasii-te yatkınlık yaratacak immünosupresif durumlar bulunmaktadır. Fournier gangreninin tedavisin-de geniş spektrumlu antibiyoterapi, sepsis açısından resusitasyon ve agresif cerrahi debridman bulunmaktadır. Kırk iki yaşında sigara,alkol kullanımı ve ek hastalığı olmayan sağlıklı erkekte, skrotal kılların temizliği sonrası oluşan 1 cm’lik yüzeyel jilet kesinin ilerleyerek Fournier Gangreni gelişebileceğini vurgulamayı amaçladık.
References
- 1. Yılmazlar T. Fournier Gangreni: Sinsi, Öldürücü, Ancak Tedavi Edilebilir Hastalık. Turk J Colorectal Dis. 2012;22:45-49
- 2. Baurienne H. Sur une plaie contuse qui s'est terminee par la sphacele de la scrotum. J Med Chir Pharm. 1764;20:251–256.
- 3. Hamdy, Freddie C; Eardley, Ian. Oxford Textbook of Urologi-cal Surgery. Oxford University Press.p. 76,2017.
- 4. Al Shukry S, Ommen J. Necrotizing fasciitis-report of ten cases and review of recent literature. J Med Life. 2013;6(2):189-194.
- 5. Thwaini A, Khan A, Malik A, Cherian J, Barua J, Shergill I, et al. Fournier’s gangrene and its emergency management. Postgraduate medical journal. 2006;82(970):516-9.
- 6. Yılmazlar T, Işık Ö, Öztürk E, Özer A, Gülcü B, Ercan İ. Four-nier’s gangrene: review of 120 patients and predictors of mortality. Ulus Travma Acil Cerrahi Derg. 2014;20(5):333-7.
- 7. Bonkat G, Bartoletti RR, Bruyère F et al (2019) European Association of Urology - Infections in Urology Guidelines Pa-nel, Copenhagen, EAU Guidelines Office, Arnhem. ISBN 978-94-92671-02-8
- 8. Chennamsetty A, Khourdaji I, Burks F, Killinger KA. Contem-porary diagnosis and management of Fournier’s gangrene. Ther Adv Urol 2015;7:203-15
- 9. Vick R, Carson CC3rd. Fournier’s disease. Urol Clin North Am, Nov 1999; 26:841.
- 10. Althunayyan S, Karamitosos E. Fournier's gangrene in an obese female in third trimester of pregnancy. Saudi Med J. 2018 Apr;39(4):415- 418. doi: 10.15537/smj.2018.4.21780.
- 11. Emir S, Kanat BH, Yazar FM, Sözen S, Kavlakoğlu B, Özkan Z. Uludağ Üniversitesi Tıp Fakültesi Dergisi. 2013;39 (1) 23-25
- 12. Özer Y, Akyüz O, Kayıkçı A. Konuralp Tıp Dergisi 2011;3(2):35-37
- 13. Özgenel GY, Akın S, Kahveci R, Özbek S, Özcan M. Türk Plast Rekonstr Est Cer Derg. 2004;12(2) 106-109
Abstract
Fournier's gangrene (FG) is a microbial infectious disease characterized by necrotizing fasciitis affecting the perianal and genital area. The majority of patients have immunosuppressive condi-tions that predispose them to necrotizing fasciitis, such as diabetes, smoking, alcohol and subs-tance addiction, obesity, peripheral vascular disease, trauma, and urethral stenosis. Treatment of Fournier's gangrene includes broad-spectrum antibiotics, resuscitation for sepsis, and aggres-sive surgical debridement. We aimed to emphasize that a 1 cm superficial razor cut formed after cleaning the scrotal hair may progress to Fournier Gangrene in a 42-year-old healthy man who does not smoke, drink alcohol, or have any comorbidities.
References
- 1. Yılmazlar T. Fournier Gangreni: Sinsi, Öldürücü, Ancak Tedavi Edilebilir Hastalık. Turk J Colorectal Dis. 2012;22:45-49
- 2. Baurienne H. Sur une plaie contuse qui s'est terminee par la sphacele de la scrotum. J Med Chir Pharm. 1764;20:251–256.
- 3. Hamdy, Freddie C; Eardley, Ian. Oxford Textbook of Urologi-cal Surgery. Oxford University Press.p. 76,2017.
- 4. Al Shukry S, Ommen J. Necrotizing fasciitis-report of ten cases and review of recent literature. J Med Life. 2013;6(2):189-194.
- 5. Thwaini A, Khan A, Malik A, Cherian J, Barua J, Shergill I, et al. Fournier’s gangrene and its emergency management. Postgraduate medical journal. 2006;82(970):516-9.
- 6. Yılmazlar T, Işık Ö, Öztürk E, Özer A, Gülcü B, Ercan İ. Four-nier’s gangrene: review of 120 patients and predictors of mortality. Ulus Travma Acil Cerrahi Derg. 2014;20(5):333-7.
- 7. Bonkat G, Bartoletti RR, Bruyère F et al (2019) European Association of Urology - Infections in Urology Guidelines Pa-nel, Copenhagen, EAU Guidelines Office, Arnhem. ISBN 978-94-92671-02-8
- 8. Chennamsetty A, Khourdaji I, Burks F, Killinger KA. Contem-porary diagnosis and management of Fournier’s gangrene. Ther Adv Urol 2015;7:203-15
- 9. Vick R, Carson CC3rd. Fournier’s disease. Urol Clin North Am, Nov 1999; 26:841.
- 10. Althunayyan S, Karamitosos E. Fournier's gangrene in an obese female in third trimester of pregnancy. Saudi Med J. 2018 Apr;39(4):415- 418. doi: 10.15537/smj.2018.4.21780.
- 11. Emir S, Kanat BH, Yazar FM, Sözen S, Kavlakoğlu B, Özkan Z. Uludağ Üniversitesi Tıp Fakültesi Dergisi. 2013;39 (1) 23-25
- 12. Özer Y, Akyüz O, Kayıkçı A. Konuralp Tıp Dergisi 2011;3(2):35-37
- 13. Özgenel GY, Akın S, Kahveci R, Özbek S, Özcan M. Türk Plast Rekonstr Est Cer Derg. 2004;12(2) 106-109
Details
| Primary Language | Turkish |
|---|---|
| Subjects | Urology |
| Journal Section | Case Report |
| Authors | |
| Early Pub Date | August 28, 2024 |
| Publication Date | August 29, 2024 |
| Submission Date | April 7, 2024 |
| Acceptance Date | May 30, 2024 |
| Published in Issue | Year 2024 |
Harran Üniversitesi Tıp Fakültesi Dergisi / Journal of Harran University Medical Faculty