A case of Fournier gangrene complicating idiopathic nephrotic syndrome of childhood.
A 10-year-old boy presenting with steroid resistant nephrotic syndrome developed Fournier gangrene of the scrotum. Antimicrobial drug therapy, intravenous albumin, excision of necrotic scrotum and left orchidectomy followed by skin grafting 3 weeks later led to an excellent cosmetic and medical result. Six months later he remains nephrotic on diuretic and angiotensin converting enzyme inhibitor medication.
Wright
A J
AJ
Department of Paediatric Nephrology, Guy's Hospital, 9th Floor Guy's Tower, St. Thomas Street, London SE1 9RT, UK.
Lall
A
A
Gransden
W R
WR
Joyce
M R
MR
Rowsell
A
A
Clark
G
G
D000658:Amoxicillin / Q000494:pharmacology; D002648:Child; D018934:Fournier Gangrene / Q000150:complications* / Q000628:therapy; D005839:Gentamicins / Q000494:pharmacology; D005938:Glucocorticoids / Q000494:pharmacology; D006801:Humans; D008297:Male; D009336:Necrosis; D009404:Nephrotic Syndrome / Q000150:complications* / Q000628:therapy; D010406:Penicillins / Q000494:pharmacology; D011239:Prednisolone / Q000494:pharmacology; D012611:Scrotum / Q000382:microbiology / Q000473:pathology / Q000601:surgery
D005839:Gentamicins; D005938:Glucocorticoids; D010406:Penicillins; D000658:Amoxicillin; D011239:Prednisolone