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女性福尼尔坏疽患者的综合管理与治疗结果:一例报告

Comprehensive management and outcomes in female patients with Fournier's gangrene: A case report.

作者信息

El Hajjar Charlotte, Al Hassan Jihad, Siblini Mohamad, Madi Nour, Abou Hammin Saad, Nakib Hamza, Yared Georges, Ghazal Kariman

机构信息

Obstetrics and Gynecology Department, Rafik Hariri Hospital University Medical Center, Beirut, Lebanon.

Obstetrics and Gynecology Department, Faculty of Science, Lebanese University, Beirut, Lebanon.

出版信息

SAGE Open Med Case Rep. 2024 Aug 16;12:2050313X241271829. doi: 10.1177/2050313X241271829. eCollection 2024.

Abstract

Fournier's gangrene is a severe, life-threatening form of necrotizing fasciitis that predominantly affects the perineal, genital, and perianal areas. It is characterized by a rapid onset and progression, often developing from urogenital infections, diabetes, compromised immune function, or trauma. This report describes the case of a 64-year-old woman who presented with perianal pain and purulent discharge persisting for a week. Upon examination, a substantial necrotic wound was identified in her perineal region, necessitating urgent surgical debridement followed by aggressive postoperative management, including antibiotic therapy and meticulous blood sugar control. Despite initial signs of improvement, the patient's condition deteriorated due to complications from diabetes, acidosis, and pneumonia, ultimately leading to a fatal outcome. This case highlights the critical need for prompt recognition and comprehensive management of Fournier's gangrene, particularly in female patients exhibiting similar symptoms.

摘要

福尼尔坏疽是一种严重的、危及生命的坏死性筋膜炎,主要影响会阴、生殖器和肛周区域。其特点是起病急、进展快,常由泌尿生殖系统感染、糖尿病、免疫功能受损或创伤发展而来。本报告描述了一名64岁女性的病例,该患者出现肛周疼痛和脓性分泌物持续一周。检查时,在其会阴区域发现一个大面积坏死伤口,需要紧急手术清创,随后进行积极的术后管理,包括抗生素治疗和严格的血糖控制。尽管最初有改善迹象,但患者病情因糖尿病、酸中毒和肺炎并发症而恶化,最终导致死亡。该病例凸显了及时识别和全面管理福尼尔坏疽的迫切需求,尤其是在出现类似症状的女性患者中。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/30b7/11329950/566890b39c80/10.1177_2050313X241271829-fig1.jpg

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