[Fournier's gangrene. Current perspectives].
The Fournier Gangrene (FG) is a synergistic, polymicrobial, necrotizing fasciitis with infectious origin that produces gangrene of the perineal, genital or perianal skin. The number bigger than cases happens between 20 at 50 years, the males are affected more than the females in proportion 10:1 and the mortality rate is high yet. The clinical manage of the GF must be fast and opportune with intravenous application of fluids, electrolytes and systemic broad-spectrum antibiotic therapy; and avoid the hemodynamic stabilization of the patient before the surgery. The precocious surgery with debridement of the necrotizing tissues constitutes the main objective of the treatment.
Urdaneta Carruyo
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Unidad de Nefrología Pediatrica y Metabolismo Mineral, Hospital Universitario de Los Andes, Merida, Venezuela. eliexeru@gmail.com
Méndez Parra
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Urdaneta Contreras
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AV
D000328:Adult; D000367:Age Factors; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D003646:Debridement; D003937:Diagnosis, Differential; D005260:Female; D018934:Fournier Gangrene / Q000175:diagnosis / Q000188:drug therapy / Q000453:epidemiology / Q000401:mortality / Q000601:surgery / Q000628:therapy; D006801:Humans; D006931:Hyperbaric Oxygenation; D008297:Male; D008875:Middle Aged; D011379:Prognosis; D012737:Sex Factors
D000900:Anti-Bacterial Agents