Yonezu M, Okishio N
Department of Urology, Shizuoka Red Cross Hospital.
Hinyokika Kiyo. 1988 Oct;34(10):1833-6.
A 59-year-old man was admitted to our hospital complaining of perineal pain and scrotal redness. He was diagnosed with diabetes mellitus 12-years ago but had not received treatment. The scrotum soon showed necrosis and pus discharge. A culture study revealed Clostridium, Bacteroides and many other bacteria. Antibiotics chemotherapy (CMZ, AMK, MINO) was done but because necrotizing fasciitis progressed, we performed surgical treatment of necrosis. The skin defect was closed naturally with wound irrigation. The patient is doing well and his diabetes is under control. We found 13 other cases of Fournier's gangrene in the Japanese literature and their age, culture study and complications are discussed.
一名59岁男性因会阴部疼痛和阴囊发红入院。他12年前被诊断出患有糖尿病，但未接受治疗。阴囊很快出现坏死和流脓。培养研究发现有梭状芽孢杆菌、拟杆菌及许多其他细菌。进行了抗生素化疗（头孢孟多、阿米卡星、米诺环素），但由于坏死性筋膜炎进展，我们对坏死部位进行了手术治疗。通过伤口冲洗，皮肤缺损自然愈合。患者情况良好，糖尿病病情得到控制。我们在日本文献中还发现了其他13例福尼尔坏疽病例，并对其年龄、培养研究及并发症进行了讨论。
