Anzai A K
Kaiser Permanente, Fontana, California, USA.
Am Fam Physician. 1995 Nov 1;52(6):1821-5.
Fournier's gangrene, a form of necrotizing fasciitis, is an uncommon, fulminant, rapidly progressing subcutaneous infection of the scrotum and penis, and may occur in all age groups. Most cases involve a mixed synergistic infection of aerobic and anaerobic bacteria, and occur as a result of one of three mechanisms: local trauma, extension from a perianal, periurethral or ischiorectal infection. Fournier's gangrene is a urologic emergency that requires prompt recognition and aggressive hemodynamic stabilization, treatment with parenteral broad-spectrum antibiotics and surgical debridement. This disease is associated with a high mortality rate; a high index of suspicion is essential for early recognition whenever a patient presents with scrotal discomfort and swelling.
福尼尔坏疽是坏死性筋膜炎的一种形式，是一种罕见的、暴发性的、迅速进展的阴囊和阴茎皮下感染，可发生于所有年龄组。大多数病例涉及需氧菌和厌氧菌的混合协同感染，其发生有以下三种机制之一：局部创伤、肛周、尿道周围或坐骨直肠窝感染的蔓延。福尼尔坏疽是一种泌尿外科急症，需要迅速识别并积极进行血流动力学稳定治疗，给予肠外广谱抗生素治疗并进行外科清创。这种疾病的死亡率很高；每当患者出现阴囊不适和肿胀时，高度怀疑对于早期识别至关重要。
