Zhou Zengding, Guo Feng, Huan Jingning
1 Ruijin Hospital, Shanghai Jiaotong University, Shanghai, People's Republic of China.
2 Affiliated Sixth People's Hospital of Shanghai, Shanghai Jiaotong University, Shanghai, People's Republic of China.
Int J Low Extrem Wounds. 2019 Mar;18(1):94-96. doi: 10.1177/1534734618818685. Epub 2019 Jan 8.
Fournier's gangrene is a rare, rapidly progressing, and life-threatening infection associated with necrotizing fasciitis in the perineal, genital, and/or lower abdominal regions. Septic shock and multiple organ dysfunction syndrome due to the condition are even rarer events. We describe the case of a 58-year-old man who visited the emergency department with severely painful swelling in the scrotal, perianal, and lower abdominal regions. Physical examination combined with computed tomography and clinical findings led to the diagnosis of Fournier's gangrene with septic shock and multiple organ dysfunction syndrome. Broad-spectrum antibiotics, fluid resuscitation, sedative administration, and several surgeries that included perineum reconstruction were performed successfully, and the patient fully recovered. Comprehensive, timely treatments are critical for treating Fournier's gangrene.
福尼尔坏疽是一种罕见的、进展迅速且危及生命的感染，与会阴、生殖器和/或下腹部区域的坏死性筋膜炎相关。由该病症导致的感染性休克和多器官功能障碍综合征则更为罕见。我们描述了一名58岁男性的病例，他因阴囊、肛周和下腹部区域严重疼痛性肿胀前往急诊科就诊。体格检查结合计算机断层扫描及临床症状确诊为福尼尔坏疽合并感染性休克和多器官功能障碍综合征。成功实施了广谱抗生素治疗、液体复苏、给予镇静剂以及包括会阴重建在内的多次手术，患者完全康复。全面、及时的治疗对于福尼尔坏疽的治疗至关重要。
