title: [Our experience in Fournier's gangrene with severe septic shock].
abstract: Fournier's gangrene is a rare, rapidly progressing necrotizing fasciitis, which involves the genital area and perineum, progresses towards the thighs and abdominal wall through fascial plains. In our surgical department we treated seven patients with Fournier's gangrene between 2007 and 2011. Early diagnosis, immediate radical surgical debridement, necrosectomy, appropriate antibiotics and intensive care are all required and necessary for the successful treatment. Despite appropriate therapy, two patients were lost in septic shock.
authors.affiliation: Jahn Ferenc Dél-pesti Kórház Sebészeti Osztály 1204 Budapest Köves u. 1.
authors.forename: Péter
authors.initials: P
authors.lastname: Lukász
authors.affiliation: Jahn Ferenc Dél-pesti Kórház Sebészeti Osztály 1204 Budapest Köves u. 1.
authors.forename: Gábor
authors.initials: G
authors.lastname: Ecsedy
authors.affiliation: Jahn Ferenc Dél-pesti Kórház Sebészeti Osztály 1204 Budapest Köves u. 1.
authors.forename: Zoltán
authors.initials: Z
authors.lastname: Lovay
authors.affiliation: Jahn Ferenc Dél-pesti Kórház Sebészeti Osztály 1204 Budapest Köves u. 1.
authors.forename: István
authors.initials: I
authors.lastname: Nagy
authors.affiliation: Jahn Ferenc Dél-pesti Kórház Sebészeti Osztály 1204 Budapest Köves u. 1.
authors.forename: Dániel
authors.initials: D
authors.lastname: Kári
authors.affiliation: Magyar Honvédség Egészségügyi Központ Sebészeti Osztály Budapest.
authors.forename: Attila
authors.initials: A
authors.lastname: Vörös
authors.affiliation: Fővárosi Önkormányzat Egyesített Szent István és Szent László Kórház Sebészeti Osztály Budapest.
authors.forename: Ferenc
authors.initials: F
authors.lastname: Ender
mesh_terms: D000328:Adult; D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D001458:Bandages; D003422:Critical Care / Q000379:methods*; D003646:Debridement; D048909:Diabetes Complications / Q000628:therapy; D021902:Enterobacter aerogenes / Q000302:isolation & purification; D013293:Enterococcus faecalis / Q000302:isolation & purification; D016984:Enterococcus faecium / Q000302:isolation & purification; D004926:Escherichia coli / Q000302:isolation & purification; D005260:Female; D018934:Fournier Gangrene / Q000150:complications* / Q000188:drug therapy / Q000209:etiology / Q000601:surgery / Q000628:therapy*; D061865:Hemorrhoidectomy / Q000009:adverse effects; D006801:Humans; D006973:Hypertension / Q000150:complications; D008297:Male; D008875:Middle Aged; D010264:Paraplegia / Q000150:complications; D018720:Prevotella / Q000302:isolation & purification; D012307:Risk Factors; D012720:Severity of Illness Index; D017678:Sex Distribution; D012772:Shock, Septic / Q000188:drug therapy / Q000209:etiology* / Q000382:microbiology / Q000601:surgery / Q000628:therapy*; D007507:Therapeutic Irrigation; D014950:Wounds, Penetrating / Q000150:complications
chemical_list: D000900:Anti-Bacterial Agents
keywords: Fournier-gangraena; Fournier’s gangrene; drainage; necrectomia; necrectomy; necrotizing fasciitis; necrotizáló fasciitis; sepsis; septicus állapot