[Fournier's gangrene in a patient with Hodgkin's disease: a clinical case].
The authors report a case of Fournier's gangrene in a 54-year-old patient subjected 6 days earlier to chemotherapy for mediastinal Hodgkin's disease. The patient had fever and reported the onset of worsening pain and heat sensations in the inguinal, perineal and scrotal areas. Objectively, there was local oedema followed by the onset of crepitation. The patient had a very low white blood cell count (900/cu.mm). The Patient underwent emergency surgery with multiple, communicating incisions in the inguinal, perineal and scrotal areas, with the removal of necrotic tissue and daily washing with physiological solution and 12% H2O2. He also received antibiotic treatment with metronidazole and gentamicin and 5 cycles of high-pressure oxygen therapy, with disappearance of pain and fever and good local tissue repair.
Castellini
C
C
Dipartimento di Scienze Chirurgiche e Gastroenterologiche, Cattedra di Semeiotica e Metodologia Chirurgica, Università degli Studi di Verona.
De Nitto
F
F
Bonomo
S
S
Bottura
D
D
Mazzola
F
F
Ballarin
A
A
Rosa
G
G
D005260:Female; D018934:Fournier Gangrene / Q000209:etiology*; D006689:Hodgkin Disease / Q000150:complications*; D006801:Humans; D008297:Male; D008875:Middle Aged