Forunier's Gangrene: A Replainable Disease

Authors

  • Adriana Hernández López Medical specialist in Surgery. Assigned to the Surgery Department of the Specialty Hospital “Dr. Belisario Domínguez” of the Ministry of Health of Mexico City. Graduated from the Autonomous University of Chiapas. Mexico City. Country: Mexico
  • Morelos Adolfo García Sánchez Medical specialist in Surgery and with a subspecialty in Colon and Rectal Surgery. Assigned to the Department of Surgery of the General Hospital of the Ministry of Health of Mexico City “Dr. Ruben Leñero.” Graduated from the National Autonomous University of Mexico, Mexico City. Country: Mexico
  • Daniel Fernando Narvaez Hernandez Medical specialist in Surgery. Assigned to the Department of Surgery of the Specialty Hospital “Dr. Belisario Domínguez” of the Ministry of Health of Mexico City. Graduated from the National Autonomous University of Mexico. Mexico City. Country: Mexico
  • Antonio Rodríguez Rodríguez Medical specialist in Surgery. Assigned to the Department of Surgery of the Specialty Hospital “Dr. Belisario Domínguez” of the Ministry of Health of Mexico City. Graduated from the Autonomous University of Guadalajara. Mexico City. Country: Mexico
  • Oliver Guillén Diego Medical specialist in Surgery. Assigned to the Surgery department of the General Hospital “Dr. Rubén Leñero” from the Ministry of Health of Mexico City Graduated from the “Benito Juárez” Autonomous University of Oaxaca. Mexico City. Country: Mexico
  • Rubén Andrés Salado García Medical specialist in Surgery. Assigned to the Surgery department of the Xoco General Hospital of the Ministry of Health of Mexico City. Graduated from the Autonomous University of Guerrero. Mexico City. Country: Mexico
  • Mariana González Valiente Medical specialist in Surgery. Assigned to the Department of Surgery of the Specialty Hospital “Dr. Belisario Domínguez” of the Ministry of Health of Mexico City. Graduated from the Metropolitan Autonomous University. Mexico City. Country: Mexico
  • Brenda Lizeth Herrera Gómez Tagle Medical specialist in Surgery. Assigned to the Surgery Department of the Ticoman General Hospital of the Ministry of Health of Mexico City. Graduated from the National Autonomous University of Mexico. Mexico City. Country: Mexico
  • Ervin Daniel Solorzano Ordaz Medical assigned to the “Medical Tierra del Viento” Private Hospital in Oaxaca. Graduated from the Autonomous University of Chiapas. Mexico City. Country: Mexico
  • Osvaldo Cristofer Rivas Rojas Medical specialist in Surgery. Assigned to the Department of Surgery of the Specialty Hospital “Dr. Belisario Domínguez” of the Ministry of Health of Mexico City. Graduated from the National Autonomous University of Mexico. Mexico City. Country: Mexico
  • Rodrigo Rueda De León Serna Medical specialist in Surgery. Assigned to the Department of Surgery of the Specialty Hospital “Dr. Belisario Domínguez” of the Ministry of Health of Mexico City. Graduated from the National Autonomous University of Mexico. Mexico City. Country: Mexico
  • Eduardo González Acosta Medical specialist in Surgery. Assigned to the Department of Surgery of the Specialty Hospital “Dr. Belisario Domínguez” of the Ministry of Health of Mexico City. Graduated from the National Autonomous University of Mexico. Mexico City. Country: Mexico
  • Arturo Hernández Marcial Medical specialist in Surgery. Assigned to the Department of Surgery of the Specialty Hospital “Dr. Belisario Domínguez” of the Ministry of Health of Mexico City. Graduated from the National Autonomous University of Mexico. Mexico City. Country: Mexico
  • Estefanía Rojas González Medical specialist in Surgery. Assigned to the Department of Surgery of the Specialty Hospital “Dr. Belisario Domínguez” of the Ministry of Health of Mexico City. Graduated from the National Autonomous University of Mexico. Mexico City. Country: Mexico
  • Daniela Gómez Gómez Medical specialist in Surgery. Assigned to the Department of Surgery of the “Ajusco Medio” General Hospital of the Ministry of Health of Mexico City. Graduated from the National Autonomous University of Mexico. Mexico City. Country: Mexico
  • Anahí Nava López Medical specialist in Surgery. Assigned to the Department of Surgery of the “Ajusco Medio” General Hospital of the Ministry of Health of Mexico City. Graduated from the Benemérita Universidad Autónoma de Puebla. Mexico City. Country: Mexico

DOI:

https://doi.org/10.14738/bjhmr.124.17211

Keywords:

Gangrene, Fournier, Infection, Necrotizing fasciitis, Necrosis, Debridement, Sewer system

Abstract

Introduction: Fournier's gangrene is a rare disease that is defined as the infection of soft tissues and muscle fascia that are specifically necrotic, potentially fatal, of polymicrobial cause and of specific topography. Objective: presentation of a case. Method: A 59-year-old male with type 2 diabetes mellitus without treatment, with 14 days of evolution, the diagnosis of Fournier's gangrene is made, he undergoes immediate surgical management with drainage, debridement and aggressive surgical lavage and exploratory laparotomy, which despite due to the relentlessness of the infection and necrosis, his evolution was satisfactory. Discussion: the triggering factor or cataclysm of Fournier's gangrene is not known, but it is associated with its own elements that converge and create a synergy of the infectious event in the patient. Early surgical care reduces mortality by up to 16%, otherwise it increases by up to 68%. There are multiple treatment options, without leaving aside the aggressive surgical management essential in the first line but associated with sitz baths, or daily dressings, consecutive surgical washings, use of wet dressings, or negative pressure therapy. Conclusions: Fournier's gangrene is a fatal disease, which as science advances, the essence of its treatment does not change. It's surgical! where early aggressive debridement, drainage and surgical lavage is the turning point in having or not having a good prognosis.

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Published

2024-07-07

How to Cite

López, A. H., Sánchez, M. A. G., Hernandez, D. F. N., Rodríguez, A. R., Diego, O. G., García, R. A. S., Valiente, M. G., Tagle, B. L. H. G., Ordaz, E. D. S., Rojas, O. C. R., Serna, R. R. D. L., Acosta, E. G., Marcial, A. H., González, E. R., Gómez, D. G., & López, A. N. (2024). Forunier’s Gangrene: A Replainable Disease. British Journal of Healthcare and Medical Research, 12(4), 30–39. https://doi.org/10.14738/bjhmr.124.17211

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