[Fournier's gangrene. Case report and review of the literature].
Fournier's gangrene is a rare condition, far from being 'idiopathic', which must be taken seriously and which is, although at first manifesting itself only locally, a generalized condition with high mortality and--unless recognized--taking a rapid course with lethal outcome. Many risk factors have been recognized which favor an often lethal outcome. Although oftentimes not recognized, a port of entry is always present and haemolytic streptococci are as a rule involved. Since Fournier the age limit has moved to the 5th and 6th decades. Early recognition, prompt and aggressive surgical treatment and antibiotic coverage are mandatory to offer patients a chance to survive.
Kaulbars
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Chirurgische Abteilung, St.-Josef-Hospitals Bad Driburg.
D003131:Combined Modality Therapy; D003646:Debridement; D005208:Fasciitis / Q000175:diagnosis / Q000601:surgery*; D005465:Fluorocarbon Polymers; D005734:Gangrene; D005832:Genital Diseases, Male / Q000175:diagnosis / Q000601:surgery*; D006552:Hernia, Inguinal / Q000175:diagnosis / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D009336:Necrosis; D009779:Occlusive Dressings; D011183:Postoperative Complications / Q000175:diagnosis / Q000601:surgery; D013290:Streptococcal Infections / Q000175:diagnosis / Q000601:surgery; D013297:Streptococcus pyogenes
D005465:Fluorocarbon Polymers; C010946:polytetrafluoroethane