Sears Shalondria J, Menendez Katherine, Cobo Dominguez Beatriz, Chernicki Brendan, Caushi Jessica, Cherner Rebecca
Family Medicine, Florida Atlantic University Charles E. Schmidt College of Medicine, Boca Raton, USA.
Family Medicine, Broward Health Medical Center, Fort Lauderdale, USA.
Cureus. 2024 Jul 7;16(7):e64019. doi: 10.7759/cureus.64019. eCollection 2024 Jul.
Fournier's gangrene (FG) is a rapidly progressing necrotizing soft tissue infection of the perineum with potential multiorgan involvement, posing significant mortality risks. This case report highlights the clinical presentation, potential risk factors, and emphasizes the critical necessity of immediate antibiotic therapy and surgical debridement, regardless of the causative agents involved. We also aim to provide new images to better visualize a diagnosis of Fournier's gangrene. We present the case of a 65-year-old male with a history of self-care neglect, hypertension, and extensive tobacco use. The patient presented to the emergency department exhibiting classical symptoms of systemic illness, necessitating a collaborative diagnostic and therapeutic approach involving various medical specialties including family medicine, urology, general surgery, interventional radiology, infectious disease, pharmacy, intensive care, social service, and palliative care teams. Despite aggressive interventions during his 24-day hospitalization, the patient's clinical condition progressively deteriorated. This case underscores the significance of early detection, timely intervention, and interdisciplinary cooperation in optimizing outcomes for patients with Fournier's gangrene.
福尼尔坏疽（FG）是一种进展迅速的会阴部坏死性软组织感染，可能累及多个器官，具有较高的死亡风险。本病例报告突出了临床表现、潜在危险因素，并强调了无论涉及何种病原体，立即进行抗生素治疗和手术清创的至关重要性。我们还旨在提供新的影像，以便更好地可视化福尼尔坏疽的诊断。我们报告一例65岁男性病例，该患者有自我护理疏忽、高血压病史且大量吸烟。患者因出现全身性疾病的典型症状就诊于急诊科，需要包括家庭医学、泌尿外科、普通外科、介入放射学、传染病学、药学、重症监护、社会服务和姑息治疗团队在内的多个医学专科进行协作诊断和治疗。尽管在其24天的住院期间进行了积极干预，但患者的临床状况仍逐渐恶化。本病例强调了早期发现、及时干预和跨学科合作对于优化福尼尔坏疽患者治疗效果的重要性。
