Ciftci Halil, Verit Ayhan, Oncel Halil, Altunkol Adem, Savas Murat, Yeni Ercan, Bitiren Muharrem, Guldur M Emin
Department of Urology, School of Medicine, Harran University, Sanliurfa, Turkey.
J Pak Med Assoc. 2012 Mar;62(3):280-2.
Fournier's gangrene is a rare disease with rapidly progressive necrotising fasciitis of the genital, perineal and perianal regions and is known to have an impact in the morbidity and the mortality. Despite antibiotics and aggressive debridement, mortality rate is still high. We present a 79-year-old man who was admitted to School of Medicine, Harran University, Sanliurfa, Turkey, with painful swelling of penoscrotal region. Perineal examination revealed the entire perineal skin to be gangrenous, necrotic and foul smelling. Despite the aggressive drainage and broad-spectrum antibiotic therapy, the gangrene progressed rapidly in hours and the patient's general condition worsened. Secondary extensive debridement including bilateral orchiectomy and amputation of the penis was performed. This disease may result in loss of organ such as testes and penis even with sufficient therapy.
福尼尔坏疽是一种罕见疾病，表现为生殖器、会阴和肛周区域迅速进展的坏死性筋膜炎，已知会对发病率和死亡率产生影响。尽管使用了抗生素并进行了积极清创，但死亡率仍然很高。我们报告一名79岁男性，因阴茎阴囊区域疼痛肿胀入住土耳其尚勒乌尔法哈兰大学医学院。会阴检查发现整个会阴皮肤坏疽、坏死且有恶臭。尽管进行了积极引流和广谱抗生素治疗，但坏疽在数小时内迅速进展，患者的一般状况恶化。进行了包括双侧睾丸切除术和阴茎截肢在内的二次广泛清创。即使进行了充分治疗，这种疾病仍可能导致睾丸和阴茎等器官丧失。
