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DOI 10.1177/2050313x241271829

Медицинская библиотека · SAGE open medical case reports · 2024

Comprehensive management and outcomes in female patients with Fournier's gangrene: A case report.

El Hajjar Charlotte, Al Hassan Jihad, Siblini Mohamad, Madi Nour, Abou Hammin Saad, Nakib Hamza, Yared Georges, Ghazal Kariman

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Аннотация

Fournier's gangrene is a severe, life-threatening form of necrotizing fasciitis that predominantly affects the perineal, genital, and perianal areas. It is characterized by a rapid onset and progression, often developing from urogenital infections, diabetes, compromised immune function, or trauma. This report describes the case of a 64-year-old woman who presented with perianal pain and purulent discharge persisting for a week. Upon examination, a substantial necrotic wound was identified in her perineal region, necessitating urgent surgical debridement followed by aggressive postoperative management, including antibiotic therapy and meticulous blood sugar control. Despite initial signs of improvement, the patient's condition deteriorated due to complications from diabetes, acidosis, and pneumonia, ultimately leading to a fatal outcome. This case highlights the critical need for prompt recognition and comprehensive management of Fournier's gangrene, particularly in female patients exhibiting similar symptoms.

Для цитирования: El Hajjar Charlotte, Al Hassan Jihad, Siblini Mohamad, Madi Nour, Abou Hammin Saad, Nakib Hamza, Yared Georges, Ghazal Kariman. Comprehensive management and outcomes in female patients with Fournier's gangrene: A case report.. SAGE open medical case reports. 2024. DOI: 10.1177/2050313x241271829.
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