Fournier's Gangrene Developed from Pressure Ulcers
0
Citation
8
Reference
10
Related Paper
Abstract:
We report a 66 year-old Japanese man with Fournier's gangrene developed from pressure ulcers. Pelvic computed tomography (CT) scan confirmed subcutaneous gas accumulation from the scrotum to the gluteal region. Emergent debridment and the administration of systemic antibiotics improved the symptoms. Fournier's gangrene is a necrotizing fasciitis of the perineal and genital region. Proper treatment for bacterial infection in pressure ulcers is critical and clinicians should be alert to early signs of necrotizing fasciitis.Keywords:
Gangrene
Fournier gangrene
Gas gangrene
Negative-pressure wound therapy
Sex organ
Abstract Background Necrotizing fasciitis is an aggressive infection of the soft tissues and subcutaneous fascia. The involvement of the head and neck region is very rare but carries significant mortality. Negative pressure wound therapy (NPWT) became very popular in treating complicated wounds. Case presentation We present a case of necrotizing fasciitis in cervical region. After surgical debridement, a NPWT device was applied. NPWT provides advantages compared to conventional debridement and drainage. Conclusion This method is recommended as an adjuvant tool in treating necrotizing fasciitis in head and neck region because it helps to eradicate infection, provides comfort to the patient and facilitates wound healing.
Negative-pressure wound therapy
Debridement (dental)
Surgical debridement
Presentation (obstetrics)
Cite
Citations (0)
Negative-pressure wound therapy
Cite
Citations (0)
Necrotizing fasciitis is one of the most severe soft tissue infections, having substantial fatality rates even in facilities with the highest standards. Typically, it first affects the muscular fascia before spreading to the muscles and subcutaneous tissues. Thus, the therapy for this illness depends on early detection. In this report, we present the case of an 18-year-old male who developed severe necrotizing fasciitis in the right gluteal area following an intramuscular injection of diclofenac sodium. The patient received significant surgical debridement, negative pressure wound therapy (NPWT), and antibiotics as part of their care. A split-thickness skin graft was used for reconstruction. Our results were outstanding as the wound totally healed. Overall, our findings portrayed the importance of taking serious action against soft tissue infections.
Negative-pressure wound therapy
Debridement (dental)
Intramuscular injection
Wound care
Subcutaneous tissue
Cite
Citations (1)
A case of rapidly progressive necrotizing fascitis and gas gangrene due to Clostridium difficile that responded very well to surgical intervention is described.
Gangrene
Gas gangrene
Fournier gangrene
Clostridium septicum
Cite
Citations (19)
We present a severe case of orbital necrotizing fasciitis that was treated utilizing negative pressure wound therapy (NPWT). The conditions caused by the disease and the utility of the treatment were discussed. Additionally, the functionality and the process of the treatment were thoroughly analyzed. Potential complications from utilizing NPWT were also identified. When the patient was tested, it was found that he had intra op cultures with group B Streptococcus pyogenes (Strep pyogenes). CT scans were also conducted to analyze his right lateral periorbital tissue. Subsequently, the patient was admitted to the ICU, where a wound vacuum-assisted closure (VAC) was placed on his right eye. Once the NPWT was complete, the patient was prescribed antibiotics and was able to improve the health within his right eye.
Negative-pressure wound therapy
Streptococcus Pyogenes
Cite
Citations (6)
Negative-pressure wound therapy
Debridement (dental)
Granulation tissue
Surgical debridement
Incision and drainage
Cite
Citations (33)
We report a 66 year-old Japanese man with Fournier's gangrene developed from pressure ulcers. Pelvic computed tomography (CT) scan confirmed subcutaneous gas accumulation from the scrotum to the gluteal region. Emergent debridment and the administration of systemic antibiotics improved the symptoms. Fournier's gangrene is a necrotizing fasciitis of the perineal and genital region. Proper treatment for bacterial infection in pressure ulcers is critical and clinicians should be alert to early signs of necrotizing fasciitis.
Gangrene
Fournier gangrene
Gas gangrene
Negative-pressure wound therapy
Sex organ
Cite
Citations (0)
Introduction: Necrotizing fasciitis (NF) is an infection of the soft tissues (skin, subcutaneous tissue and fascia) that implies a rapidly and progressive evolution. In general, the treatment consists of stabilizing the patient, as well as the use of antibiotics that cover the most common agents, however, in most cases this is not useful without definitive management that consists of cleaning and surgical debridement. In addition to surgical lavage, adjunctive measures are often used in the treatment of complex wounds, such as vacuum-assisted closure (VAC) systems, also known as microdeformation wound therapy (MDWT) or negative pressure wound therapy (NPWT). Objective: The objective is to present a successful case in the treatment of necrotizing fasciitis by negative pressure therapy with subsequent placement of grafts.
Negative-pressure wound therapy
Debridement (dental)
Surgical debridement
Subcutaneous tissue
Cite
Citations (0)
Gas gangrene (GG) remains a life-threatening and deadly disease. Early recognition together with daily surgical debridement remains the mainstay of therapy. We sought to describe a fatal case of necrotizing soft tissue infection, which was a gas gagrene in this case. This case was remarkable as two main sites were infected simultaneously in geographical zones very far from each other making dissemination between both sites almost impossible. The other particularity was the fact that the infection was caused at the same time by four different bacteria that is atypical in GG similar to that in streptoccocal necrotizing fasciitis where one bacteria is the causative agent (Clostridium perfringens for GG and group A streptococcus for necrotizing fasciitis).
Gas gangrene
Clostridium perfringens
Debridement (dental)
Gangrene
Surgical debridement
Cite
Citations (4)