Department of Surgery, Sikkim Manipal Institute of Medical Sciences, Sikkim, India.
Arch Iran Med. 2010 Jul;13(4):360-2.
Necrotizing fasciitis of the perineum and external genitalia is a life-threatening infective gangrene, primarily seen in adults. It may be seen at any ages but it is rare in neonates and infants. Here, we report a case of Fournier's gangrene in a 21 day old male neonate who was treated aggressively with broad spectrum antibiotics and early surgical debridement with hemodynamic stabilization. Even though no obvious precipitating cause was identified, hygiene was thought to be the inciting factor. Early surgical debridement with appropriate antibiotics and aggressive supportive care gives good results and probably in our setting, to some extent, it is a preventable condition.
会阴部和外生殖器坏死性筋膜炎是一种危及生命的感染性坏疽,主要见于成人。它可发生于任何年龄,但在新生儿和婴儿中很少见。在这里,我们报告了一例 21 天大的男性新生儿 Fournier 坏疽的病例,该患儿接受了广谱抗生素的积极治疗和早期的手术清创以及血流动力学稳定。尽管没有明确的诱发因素,但认为卫生是引发因素。早期手术清创、适当的抗生素和积极的支持性护理可获得良好的效果,而且在我们的环境中,在某种程度上,它是一种可预防的疾病。