Soares Dionísio Antony, Duarte Joana, Guia Lopes Maria Leonor, Camacho Cristiana
Internal Medicine Department, Hospital São Francisco Xavier - Centro Hospitalar de Lisboa Ocidental, Lisboa, PRT.
Endocrinology Department, Hospital Egas Moniz - Centro Hospitalar de Lisboa Ocidental, Lisboa, PRT.
Cureus. 2022 Dec 16;14(12):e32588. doi: 10.7759/cureus.32588. eCollection 2022 Dec.
Fournier's gangrene (FG) is an infectious disease characterized by necrotizing fasciitis of the perineal, perianal, or genital area associated with aging, male gender, diabetes mellitus (DM), alcoholism, trauma, and immunosuppression states. It can rapidly evolve into sepsis, septic shock, and multiorgan failure with a high mortality rate. We present the case of a 55-year-old man who developed a severe FG, initially assumed as an epididymo-orchitis with new-onset DM. The early identification and treatment resulted in a favorable outcome, being discharged from the hospital after 21 days. Diabetic patients are more susceptible to having severe infections such as FG, hence the importance of adequate metabolic control and increased suspicion to prevent fatal complications.
福尼尔坏疽（FG）是一种传染病，其特征为会阴、肛周或生殖器区域的坏死性筋膜炎，与衰老、男性、糖尿病（DM）、酗酒、创伤及免疫抑制状态相关。它可迅速发展为脓毒症、感染性休克和多器官功能衰竭，死亡率很高。我们报告一例55岁男性发生严重FG的病例，最初被误诊为附睾炎伴新发糖尿病。早期识别和治疗带来了良好的结果，患者在21天后出院。糖尿病患者更容易发生如FG这样的严重感染，因此充分的代谢控制以及提高警惕以预防致命并发症非常重要。
