Ekingen Gülsen, Isken Tonguç, Agir Hakan, Oncel Selim, Günlemez Ayla
Department of Pediatric Surgery, Faculty of Medicine, Kocaeli University, 41380 Kocaeli, Turkey.
J Pediatr Surg. 2008 Dec;43(12):e39-42. doi: 10.1016/j.jpedsurg.2008.09.014.
Fournier's gangrene is uncommon in pediatric age group, and little is known about the disease in the newborn period and infancy. Three patients, aged 10 days, 14, and 17 months, with Fournier's gangrene, were treated in our hospital. The predisposing factors were prematurity, a diaper rash, and varicella infection, respectively. Especially, prematurity and diaper rash are rare predisposing factors in the pediatric population; therefore, high index of suspicion, prompt diagnosis, conservative surgery, and multidisciplinary approach are the mainstays of management in children with Fournier's gangrene.
福尼尔坏疽在儿童年龄组中并不常见,对于新生儿期和婴儿期的这种疾病了解甚少。我院收治了3例患有福尼尔坏疽的患儿,年龄分别为10天、14个月和17个月。诱发因素分别为早产、尿布疹和水痘感染。特别是,早产和尿布疹在儿童群体中是罕见的诱发因素;因此,高度怀疑、及时诊断、保守手术以及多学科方法是福尼尔坏疽患儿治疗的主要手段。