Zermani Rita, Bocchi Francesca
Casa di Cura Città di Parma--General Surgery, Parma, Italy.
Acta Biomed. 2012 Dec;83(3):217-9.
Fournier's Gangrene is a rare form of necrotizing fasciitis due to microbial infection of perineum and scrotum. It's a sever infectious disease with an high mortality rate: an early and aggressive debridement is a significant prognostic factor in the management of this pathology. We present a clinical case of a 52-years old male patient that suffered from this disease after a long car journey that may have favoured the maceration of skin with the following penetration and proliferation of microbes into the scrotal skin. Subsequently he developed fever, not adequately considered, and this leads to development of sepsis that required hospitalization in Resuscitation and Intensive Care Unit, then in Infectious Disease Ward, and finally he was placed under our care so that he could undergo procedures of reconstruction of scrotum and reparation of the cutaneous defect.
福尼尔坏疽是一种罕见的坏死性筋膜炎，由会阴和阴囊的微生物感染引起。它是一种严重的传染病，死亡率很高：早期积极的清创术是这种疾病治疗中的一个重要预后因素。我们报告一例临床病例，一名52岁男性患者在长时间乘车旅行后患上此病，长时间乘车旅行可能促使皮肤浸渍，随后微生物侵入并在阴囊皮肤中增殖。随后他出现发热，但未得到充分重视，这导致了脓毒症的发展，需要入住复苏和重症监护病房，随后转入传染病病房，最后在我们的照料下接受治疗，以便他能够接受阴囊重建和皮肤缺损修复手术。
