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- Title
Fournier’s gangrene and intravenous drug abuse: an unusual case report and review of the literature.
- Authors
Zingaro, Michele Del; Boni, Andrea; De Vermandois, Jacopo Adolfo Rossi; Paladini, Alessio; Lepri, Emanuele; Ursi, Pietro; Cirocchi, Roberto; Turco, Morena; Gaudio, Gianluca; Nogara, Andrea; Mearini, Ettore
- Abstract
Fournier’s gangrene is a potentially fatal emergency condition characterized by necrotizing fasciitis and supported by an infection of the external genital, perineal and perianal region, with a rapid and progressive spread from subcutaneous fat tissue to fascial planes. In this case report, a 52-year-old man, with a history of hepatitis C-virus (HCV)-related chronic liver disease and cocaine use disorder for which he was receiving metha-done maintenance therapy, was admitted to the Emergency Department with necrotic tissue involving the external genitalia. Fournier’s gangrene is usually due to compromised host immunity, without a precise cause of bacterial infection; here it is linked to a loco-regional intravenous injection of cocaine. A multimodal approach, including a wide surgical debridement and a postponed skin graft, was needed. Here we report this case, with a narrative review of the literature.
- Publication
Open Medicine, 2019, Vol 14, Issue 1, p694
- ISSN
2391-5463
- Publication type
Article
- DOI
10.1515/med-2019-0114