title: Fournier's gangrene in elderly patient: report of a case.
abstract: Fournier's gangrene (FG) is rapidly progressing acute gangrenous infection of the anorectal and urogenital area. FG needs precocious diagnosis and aggressive treatment with the use of wide spectrum antibioticus and surgical debridement. In our case, a 91-year-old Japanese female who had rehabilitation after treatment of pneumonia and her past history was rheumatoid arthritis treated with steroid and chronic heart failure. Her activities of daily living was bedridden with dementia. Necrotic skin was observed in urogenital and anorectal area and skin redness enlarged to the hip with high fever. Surgical debridement was performed. Both Peptostreptococcus Sp. and Fusobacterium Sp. was cultured from resected necrotic tissue. We used antibioticus, PAPM and PIPC, which had sensitivity for them. But unfortunately, disseminated intravascular coagulation occurred after 4th day of operation, and finally she died after 10th day of operation. We discussed the treatment for FG in patient with complication.
authors.affiliation: Department of Surgery, Kubokawa Hospital, Kochi, Japan.
authors.forename: Hajime
authors.initials: H
authors.lastname: Nakatani
authors.forename: Shinichi
authors.initials: S
authors.lastname: Hamada
authors.forename: Toyotake
authors.initials: T
authors.lastname: Okanoue
authors.forename: Akihiro
authors.initials: A
authors.lastname: Kawamura
authors.forename: Takashi
authors.initials: T
authors.lastname: Chikai
authors.forename: Shinya
authors.initials: S
authors.lastname: Yamamoto
authors.forename: Yuichiro
authors.initials: Y
authors.lastname: Inoue
authors.forename: Kazuhiro
authors.initials: K
authors.lastname: Hanazaki
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D003646:Debridement; D005260:Female; D018934:Fournier Gangrene / Q000150:complications / Q000628:therapy*; D006801:Humans
chemical_list: D000900:Anti-Bacterial Agents