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- Title
Fournier's Gangrene in a Female Patient with Diabetes Mellitus: Report of a Case.
- Authors
Aksel, Gökhan; Özel, Betül Akbuğa; Kavalcı, Cemil; Muratoğlu, Murat
- Abstract
Introduction: Fournier's gangrene is relatively uncommon condition, especially in female patients. The literature suggests that Fournier's gangrene in women may arise from vulvar or Bartholin's gland abscesses or may result from hysterectomy or episiotomy. Here, we present a female with Fournier's gangrene without a history of abscesses, hysterectomy, or episiotomy. Case Report: A 39-year-old woman presented to the emergency department with hyperemia, edema, and pain on the perineal area. The patient had a history of diabetes mellitus and recurrent urinary tract infections. Physical examination revealed malodorousness, hyperemia, and a gangrenous necrotic surface on the mons pubis. Body temperature was 38°C, WBC was 26,000 mm³, and C-reactive protein was 315 mg/L. Pelvic computed tomography revealed a progressive subcutaneous tissue infiltration and soft tissue gas within the whole pelvic area radiating to the abdomen. Wide perineal debridement was performed, and vancomycin and clindamycin were preferred for antibiotherapy. She was discharged healthy after 20 days of hospitalization. Conclusion: Fournier's gangrene is a serious surgical emergency with a high mortality rate. Using broad-spectrum antibiotics and extensive surgical debridement remains the cornerstone of the therapy. Although Fournier's gangrene is mostly attributed to the male gender, emergency physicians should also consider this disease in female patients who have comorbid diseases, like DM, and present with findings suggestive of infection in the perineal area.
- Subjects
FOURNIER gangrene; EPISIOTOMY
- Publication
Journal of Academic Emergency Medicine Case Reports / Akademik Acil Tip Olgu Sunumlari Dergisi, 2014, Vol 5, Issue 7, p206
- ISSN
1309-534X
- Publication type
Case Study
- DOI
10.5152/jaemcr.2014.392