Division of Nephrology and Renal Transplantation, Department of Medicine, Centro Hospitalar Lisboa Norte, Lisbon, Portugal.
Division of Nephrology and Renal Transplantation, Department of Medicine, Centro Hospitalar Lisboa Norte, Lisbon, Portugal.
Transplant Proc. 2021 May;53(4):1281-1283. doi: 10.1016/j.transproceed.2021.02.009. Epub 2021 Mar 26.
Fournier gangrene is a progressive necrotizing infection of the external genitalia or perineum that constitutes a urologic emergency. Incidence of Fournier gangrene is rising because of population aging, increasing comorbidities, and widespread use of immunosuppressive therapy, including immunosuppressive regimens used in kidney transplants. This is a rapidly progressive and potentially lethal disease without treatment, and early recognition of the disease, proper management of the predisposing factors, and aggressive surgical debridement are the most essential interventions. We report a rare case of Fournier gangrene in the early postoperative period of a kidney transplant due to a perinephric abscess.
Fournier 坏疽是一种外生殖器或会阴的进行性坏死性感染，属于泌尿科急症。由于人口老龄化、合并症增多以及免疫抑制治疗（包括肾移植中使用的免疫抑制方案）的广泛应用，Fournier 坏疽的发病率正在上升。如果不治疗，这种疾病会迅速恶化并可能致命，因此早期识别疾病、适当处理诱发因素以及积极的手术清创是最重要的干预措施。我们报告了一例肾移植术后早期因肾周脓肿引起的罕见 Fournier 坏疽病例。
