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[一名患有类固醇抵抗型肾病综合征儿童的福尼尔坏疽。病例报告]

[Fournier gangrene in a child with steroid-resistant nephrotic syndrome. Report of one case].

作者信息

Padilla María E, Fernández Berisso Sofía, Vietri Agostina B, Trinitario Lucas P, Liern Miguel, Moreno Mirta S, Podestá Miguel L

机构信息

Clínica Pediátrica, Hospital de Niños "Dr. Ricardo Gutiérrez", Ciudad Autónoma de Buenos Aires, Argentina.

Servicio de Nefrología, Hospital de Niños "Dr. Ricardo Gutiérrez", Ciudad Autónoma de Buenos Aires, Argentina.

出版信息

Arch Argent Pediatr. 2020 Apr;118(2):e204-e207. doi: 10.5546/aap.2020.e204.

Abstract

Fournier gangrene is a necrotizing fasciitis that affects the genital, perineal and perianal regions, of sudden onset and rapidly progressive dissemination. Its diagnosis requires an urgent and interdisciplinary intervention. The association with nephrologic diseases is rare. We present a case of Fournier gangrene in a child with steroidresistant nephrotic syndrome and anasarca with severe scrotal edema. He received a broad-spectrum antibiotic scheme and extensive an immediate surgical debridement of the necrotic lesion was carried out. Subsequently, it was repaired by Plastic Surgery. He presented a favourable clinical response.

摘要

福尼尔坏疽是一种坏死性筋膜炎,累及生殖器、会阴和肛周区域,起病突然且迅速进展扩散。其诊断需要紧急的多学科干预。与肾脏疾病的关联较为罕见。我们报告一例患有类固醇抵抗型肾病综合征和全身性水肿伴严重阴囊水肿的儿童发生福尼尔坏疽的病例。他接受了广谱抗生素治疗方案,并立即对坏死病变进行了广泛的手术清创。随后,由整形外科进行修复。他呈现出良好的临床反应。

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