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福尼尔坏疽所致暴发性全身感染:一例表现异常的病例报告

Fulminant corporal infection induced by Fournier gangrene: A case report with unusual presentation.

作者信息

Almaiman Sultan S, Alfraidi Omar B, Alhathal Naif K

机构信息

King Faisal Specialist Hospital and Research Centre (KFSH&RC), Urology Department Riyadh, Saudi Arabia.

King Abdulaziz Medical City, NGHA, Riyadh, Saudi Arabia.

出版信息

Urol Case Rep. 2021 Nov 9;40:101942. doi: 10.1016/j.eucr.2021.101942. eCollection 2022 Jan.

DOI:10.1016/j.eucr.2021.101942
PMID:34824979
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8605173/
Abstract

Fournier gangrene is a life-threatening surgical emergency caused by multiple infectious organism usually affecting the subcutaneous perineal, genital or perianal region with high incidence in immunocompromised patients. In very rare situations such our case when it involves the Deep perineal fascia and invading into the corporal body, the necrotizing tissue spread and control becomes more challenging and lead into devastating events with high mortality rate. Staged timely debridement with highly daily examination to rule out necrosis spread is highly recommended.

摘要

福尼尔坏疽是一种危及生命的外科急症,由多种感染性生物体引起,通常影响皮下会阴、生殖器或肛周区域,在免疫功能低下的患者中发病率较高。在极少数情况下,如我们的病例,当它累及会阴深筋膜并侵入阴茎体时,坏死组织的扩散和控制变得更具挑战性,并导致具有高死亡率的灾难性事件。强烈建议进行分期及时清创,并每天进行仔细检查以排除坏死扩散。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1710/8605173/29f780464e7b/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1710/8605173/411caceb1569/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1710/8605173/6060818b766e/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1710/8605173/29f780464e7b/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1710/8605173/411caceb1569/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1710/8605173/6060818b766e/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1710/8605173/29f780464e7b/gr3.jpg

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本文引用的文献

1
Isolated Fournier's gangrene of the penis with penile autoamputation.孤立性阴茎Fournier坏疽伴阴茎自截
BMJ Case Rep. 2018 Sep 19;2018:bcr-2018-226862. doi: 10.1136/bcr-2018-226862.
2
Isolated Involvement of Penis in Fournier's Gangrene: A Rare Possibility.阴茎孤立性受累于福尼尔坏疽:一种罕见的可能性。
J Coll Physicians Surg Pak. 2018 Feb;28(2):164-165. doi: 10.29271/jcpsp.2018.02.164.
3
A case of Fournier's gangrene necessitating total penectomy.一例需要全阴茎切除术的福尼尔坏疽病例。
Can J Urol. 2015 Dec;22(6):8108-11.
4
[Fournier's gangrene secondary to urethral catheterization].
Arch Esp Urol. 2005 Mar;58(2):167-70. doi: 10.4321/s0004-06142005000200012.