Oiso Naoki, Rai Shinya, Kawara Shigeru, Tatsumi Yoichi, Kawada Akira
Department of Dermatology, Kinki University School of Medicine, Osaka-Sayama, Japan.
Case Rep Dermatol. 2010 Feb 6;2(1):18-21. doi: 10.1159/000279328.
Fournier's gangrene is a life-threatening disorder caused by aerobic and anaerobic bacterial infection. We report a case of genital infection as the initial warning sign of acute myeloid leukemia. We were able to prevent progression to Fournier's gangrene in our patient by immediate intensive therapy with incision, blood transfusions and intravenous administration of antibiotics. This case suggests that hematologists and dermatologists should keep in mind that genital infection can be a first sign of hematologic malignancy.
福尼尔坏疽是一种由需氧菌和厌氧菌感染引起的危及生命的疾病。我们报告一例以生殖器感染作为急性髓系白血病首发警示信号的病例。通过立即进行包括切开引流、输血及静脉应用抗生素的强化治疗,我们成功防止了该患者发展为福尼尔坏疽。该病例提示血液科医生和皮肤科医生应牢记生殖器感染可能是血液系统恶性肿瘤的首发症状。