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Fournier’s Gangrene: Management in a Poor Resource Setting
Fournier’s gangrene is a rapidly progressive necrotizing infection of the external genitalia. We aim to share our clinical experience in the management of this disease. This was a retrospective study with data retrieved from the case note of patients seen with Fournier’s gangrene between January 201...
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Published in: | SN comprehensive clinical medicine 2020-02, Vol.2 (2), p.209-214 |
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creator | Odusanya, Benjamin Olasunkanmi Saliu, Niran Abdulwaid Salami, Olayinka Abdurraheem |
description | Fournier’s gangrene is a rapidly progressive necrotizing infection of the external genitalia. We aim to share our clinical experience in the management of this disease. This was a retrospective study with data retrieved from the case note of patients seen with Fournier’s gangrene between January 2013 and April 2019. A total of 23 cases were analysed, who were all men, with a mean age of 47 years. The mean duration before presentation was 8 days. Perianal lesion was the most common aetiological factor occurring in 39% and the most common isolated organism was
E. coli
. The mean number of debridement was 1.5 while 2 patients required colostomy. The mortality rate was 9% in this study. Despite improvement in clinical care, Fournier’s gangrene remains a potentially fatal condition. Thus, aggressive resuscitation, debridement and judicious antibiotic therapy are required. |
doi_str_mv | 10.1007/s42399-020-00226-y |
format | article |
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E. coli
. The mean number of debridement was 1.5 while 2 patients required colostomy. The mortality rate was 9% in this study. Despite improvement in clinical care, Fournier’s gangrene remains a potentially fatal condition. Thus, aggressive resuscitation, debridement and judicious antibiotic therapy are required.</description><identifier>ISSN: 2523-8973</identifier><identifier>EISSN: 2523-8973</identifier><identifier>DOI: 10.1007/s42399-020-00226-y</identifier><language>eng</language><publisher>Cham: Springer International Publishing</publisher><subject>Medicine ; Medicine & Public Health ; Surgery ; Topical Collection on Surgery</subject><ispartof>SN comprehensive clinical medicine, 2020-02, Vol.2 (2), p.209-214</ispartof><rights>Springer Nature Switzerland AG 2020</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c136y-b08f08a368704606d80a65a8ecdc8ab11c9c1552b0d347eb67c7df44ee9bb22d3</citedby><cites>FETCH-LOGICAL-c136y-b08f08a368704606d80a65a8ecdc8ab11c9c1552b0d347eb67c7df44ee9bb22d3</cites><orcidid>0000-0003-2587-0646</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27903,27904</link.rule.ids></links><search><creatorcontrib>Odusanya, Benjamin Olasunkanmi</creatorcontrib><creatorcontrib>Saliu, Niran Abdulwaid</creatorcontrib><creatorcontrib>Salami, Olayinka Abdurraheem</creatorcontrib><title>Fournier’s Gangrene: Management in a Poor Resource Setting</title><title>SN comprehensive clinical medicine</title><addtitle>SN Compr. Clin. Med</addtitle><description>Fournier’s gangrene is a rapidly progressive necrotizing infection of the external genitalia. We aim to share our clinical experience in the management of this disease. This was a retrospective study with data retrieved from the case note of patients seen with Fournier’s gangrene between January 2013 and April 2019. A total of 23 cases were analysed, who were all men, with a mean age of 47 years. The mean duration before presentation was 8 days. Perianal lesion was the most common aetiological factor occurring in 39% and the most common isolated organism was
E. coli
. The mean number of debridement was 1.5 while 2 patients required colostomy. The mortality rate was 9% in this study. Despite improvement in clinical care, Fournier’s gangrene remains a potentially fatal condition. Thus, aggressive resuscitation, debridement and judicious antibiotic therapy are required.</description><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Surgery</subject><subject>Topical Collection on Surgery</subject><issn>2523-8973</issn><issn>2523-8973</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><recordid>eNp9kEtOwzAQhi0EElXpBVj5AobxI7aD2KCKFqQiEI-15TiTKBV1kF0W2XENrsdJSCkLVqxmFv_3a-Yj5JTDGQcw51kJWZYMBDAAITQbDshEFEIyWxp5-Gc_JrOc1zCmuFIFmAm5XPTvKXaYvj4-M1362CaMeEHvfPQtbjBuaReppw99n-gj5jEdkD7hdtvF9oQcNf414-x3TsnL4vp5fsNW98vb-dWKBS71wCqwDVgvtTWgNOjagteFtxjqYH3FeSgDLwpRQS2VwUqbYOpGKcSyqoSo5ZSIfW9Ifc4JG_eWuo1Pg-PgdgrcXoEbFbgfBW4YIbmH8hiOLSa33r063vkf9Q17CF_n</recordid><startdate>202002</startdate><enddate>202002</enddate><creator>Odusanya, Benjamin Olasunkanmi</creator><creator>Saliu, Niran Abdulwaid</creator><creator>Salami, Olayinka Abdurraheem</creator><general>Springer International Publishing</general><scope>AAYXX</scope><scope>CITATION</scope><orcidid>https://orcid.org/0000-0003-2587-0646</orcidid></search><sort><creationdate>202002</creationdate><title>Fournier’s Gangrene: Management in a Poor Resource Setting</title><author>Odusanya, Benjamin Olasunkanmi ; Saliu, Niran Abdulwaid ; Salami, Olayinka Abdurraheem</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c136y-b08f08a368704606d80a65a8ecdc8ab11c9c1552b0d347eb67c7df44ee9bb22d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Surgery</topic><topic>Topical Collection on Surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Odusanya, Benjamin Olasunkanmi</creatorcontrib><creatorcontrib>Saliu, Niran Abdulwaid</creatorcontrib><creatorcontrib>Salami, Olayinka Abdurraheem</creatorcontrib><collection>CrossRef</collection><jtitle>SN comprehensive clinical medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Odusanya, Benjamin Olasunkanmi</au><au>Saliu, Niran Abdulwaid</au><au>Salami, Olayinka Abdurraheem</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Fournier’s Gangrene: Management in a Poor Resource Setting</atitle><jtitle>SN comprehensive clinical medicine</jtitle><stitle>SN Compr. Clin. Med</stitle><date>2020-02</date><risdate>2020</risdate><volume>2</volume><issue>2</issue><spage>209</spage><epage>214</epage><pages>209-214</pages><issn>2523-8973</issn><eissn>2523-8973</eissn><abstract>Fournier’s gangrene is a rapidly progressive necrotizing infection of the external genitalia. We aim to share our clinical experience in the management of this disease. This was a retrospective study with data retrieved from the case note of patients seen with Fournier’s gangrene between January 2013 and April 2019. A total of 23 cases were analysed, who were all men, with a mean age of 47 years. The mean duration before presentation was 8 days. Perianal lesion was the most common aetiological factor occurring in 39% and the most common isolated organism was
E. coli
. The mean number of debridement was 1.5 while 2 patients required colostomy. The mortality rate was 9% in this study. Despite improvement in clinical care, Fournier’s gangrene remains a potentially fatal condition. Thus, aggressive resuscitation, debridement and judicious antibiotic therapy are required.</abstract><cop>Cham</cop><pub>Springer International Publishing</pub><doi>10.1007/s42399-020-00226-y</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0003-2587-0646</orcidid></addata></record> |
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subjects | Medicine Medicine & Public Health Surgery Topical Collection on Surgery |
title | Fournier’s Gangrene: Management in a Poor Resource Setting |
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