title: Fournier's gangrene after genital piercing.
abstract: A fulminant case of streptococcal toxic shock syndrome is described. Early surgery was life saving, and the antibiotic regimen should include clindamycin. The value of secondary measures is discussed. High dose intravenous immunoglobulin (IVIG) has shown promising effects in recent publications. Hyperbaric oxygen (HBO) treatment is under evaluation. Piercing of mucosal surfaces might be associated with severe infections.
authors.affiliation: Department of Infectious Diseases, Central Hospital, Växjö, Sweden. lena_ekelius@yahoo.se
authors.forename: Lena
authors.initials: L
authors.lastname: Ekelius
authors.forename: Hilding
authors.initials: H
authors.lastname: Björkman
authors.forename: Mats
authors.initials: M
authors.lastname: Kalin
authors.forename: Jan
authors.initials: J
authors.lastname: Fohlman
mesh_terms: D000328:Adult; D000900:Anti-Bacterial Agents; D003131:Combined Modality Therapy; D004359:Drug Therapy, Combination / Q000008:administration & dosage; D019115:Fasciitis, Necrotizing / Q000175:diagnosis* / Q000628:therapy; D005500:Follow-Up Studies; D018934:Fournier Gangrene / Q000175:diagnosis* / Q000628:therapy*; D005832:Genital Diseases, Male / Q000175:diagnosis* / Q000628:therapy; D006801:Humans; D008297:Male; D009339:Needles; D010413:Penis; D018570:Risk Assessment; D012772:Shock, Septic / Q000175:diagnosis* / Q000628:therapy; D016038:Skin Transplantation; D013290:Streptococcal Infections / Q000175:diagnosis* / Q000628:therapy
chemical_list: D000900:Anti-Bacterial Agents