Barnes Emma N, Arvelo Erika, Fountain Michael W
Urology, Lake Erie College of Osteopathic Medicine, Jacksonville, USA.
Urology, Lake Erie College of Osteopathic Medicine, St. Augustine, USA.
Cureus. 2023 Dec 21;15(12):e50906. doi: 10.7759/cureus.50906. eCollection 2023 Dec.
Fournier's gangrene is a rare form of infectious fasciitis in the genital region. It is a rapidly progressing, life-threatening infection that requires immediate diagnosis and treatment. Common risk factors for Fournier's gangrene include diabetes mellitus, obesity, trauma, alcoholism, and cigarette smoking. The infection is more commonly seen in men than women, but we present here a case of Fournier's gangrene in a 74-year-old woman. The incident started as a small lump in the genital region from a fall and progressed into a severe case of necrotizing fasciitis. Emergent surgical debridement and antibiotics were required, as mortality depends greatly on prompt management.
福尼尔坏疽是一种发生于生殖器区域的罕见感染性筋膜炎。它是一种进展迅速、危及生命的感染,需要立即诊断和治疗。福尼尔坏疽的常见危险因素包括糖尿病、肥胖、创伤、酗酒和吸烟。这种感染在男性中比女性更常见,但我们在此呈现一例74岁女性的福尼尔坏疽病例。该病例始于因跌倒在生殖器区域出现一个小肿块,随后发展为严重的坏死性筋膜炎。需要进行紧急外科清创和使用抗生素,因为死亡率在很大程度上取决于及时的处理。