Ponovljena Furijeova gangrena kod bolesnice sa dijabetesom.

Translated title of the contribution: Recurrent Fournier's gangrene in a diabetic patient

Milan Terzić, Jelena Micić, Sanja Maricić, Nebojsa Arsenović

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

INTRODUCTION: Fournier's gangrene (FG) is a fulminant form of infective necrotizing fascitis of the perineal, genital, or perianal regions caused by anorectal or urogenital and perineal trauma, more common in patients with diabetes mellitus and alcohol misuse. Despite contemporary management, mortality is still high and averages 20-30%. CASE OUTLINE: A 53-year-old extremely obese diabetic postmenopausal woman with the history of poorly regulated insulin-dependent diabetes mellitus lasting for 20 years, and gangrene followed by autoamputation of minor labia a year ago, was admitted due to severe suprapubic pain and septic fever. Gynaecological examination revealed suprapubic abscess spontaneously perforated few hours prior to admission. Contraincision was performed and purulent green-yellowish discharge appeared. Microbial evaluation of the obtained specimen identified Peptostreptoccocus, Enterococcus and E.coli. Antibiotics were administered according to the sensitivity test and suprapubic tumour formation was irrigated and drained. The procedure lasted seven days and resulted in the healing of the pathological process. CONCLUSION: FG is still a life-threatening condition; so, diagnosis should be prompt with early surgical intervention, along with antibiotics and good supportive care. Proactive management of the diabetic patient with perineal infections is of extreme importance, in order to prevent the development of FG, the entity associated with very high mortality. According to the literature data available, this is the first reported case of FG relapse.

Original languageUndefined/Unknown
Pages (from-to)423-425
Number of pages3
JournalSrpski Arhiv Za Celokupno Lekarstvo
Volume137
Issue number7-8
DOIs
Publication statusPublished - Jan 1 2009

Fingerprint

Fournier Gangrene
Anti-Bacterial Agents
Necrotizing Fasciitis
Gynecological Examination
Gangrene
Mortality
Enterococcus
Pathologic Processes
Abscess
Diabetes Mellitus
Fever
History
Alcohols
Escherichia coli
Recurrence
Pain
Wounds and Injuries
Infection
Neoplasms

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Ponovljena Furijeova gangrena kod bolesnice sa dijabetesom. / Terzić, Milan; Micić, Jelena; Maricić, Sanja; Arsenović, Nebojsa.

In: Srpski Arhiv Za Celokupno Lekarstvo, Vol. 137, No. 7-8, 01.01.2009, p. 423-425.

Research output: Contribution to journalArticle

Terzić, Milan ; Micić, Jelena ; Maricić, Sanja ; Arsenović, Nebojsa. / Ponovljena Furijeova gangrena kod bolesnice sa dijabetesom. In: Srpski Arhiv Za Celokupno Lekarstvo. 2009 ; Vol. 137, No. 7-8. pp. 423-425.
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