Abstract

Patologías Asociadas al Desarrollo de Gangrena de Fournier: Serie de Nueve Casos

Introduction: Fournier gangrene is a fulminating and progressive necrotizing fasciitis of microbial origin that affects the perianal, perineal, genital and abdominal regions and is associated with some chronic diseases.
Objective: To carry out a case-by-case review of nine cases of pathology filed at the Hospital Escuela Universitaria in the last four years.
Methodology: Retrospective Descriptive Study, carried out at the University School Hospital, in the period of 2012-2016, by reviewing clinical records, taking only 15 cases out of 15, excluding six due to lack of information. A basic stratified survey is used, performing the analysis through a group discussion, helping Microsoft Word to shape the boxes.
Results: All male patients, mean age 41.5 years; With a minimum age of 20 years and maximum of 60 years. The predominant pathologies respond; Diabetes mellitus type 2, 3 (33.3%); Arterial Hypertension 3 (33.3%); Chronic Alcoholism 1 (11.1%); Chronic Renal Insufficiency (1). Pharmacological treatment in the administration of Ranitidine, Tramadol, Metronidazole, Metroclopramide, Piperacillin Sodium. Surgical management included debridement of necrotic tissues and digestive, urological, or both. The number of debridement interventions is only required one (1) in the total of patients attended. The procedures of derivation corresponded to the colostomy 4, cystotomy 3. A single patient with the use of the lungs to undergo the extensive areas of debridement were subjected to surgical reconstruction. The most frequent isolated germ was Escherichia coli (2 cases) followed by Staphylococus aereus and Pseudomonas aeruginosa. The average stay was 28 days. In our series there was a cure of 100% of the patients and there was no death.
Conclusions: It can be analyzed that Diabetes Mellitus plays a significant role as a predisposing pathology to develop this disease.


Author(s):

Alejandro Erazo Coello, Jenny Carolina Carrasco, Oswal Dario Gonzales, Lizzie Figueroa Turcios, Heydrich José Domínguez Durón, Denis Argüello Mejía, Juan José Molina Cruz, Ricardo Gutiérrez Carcamo, Nelson Alexis Barahona Garcia, Mariza Nadienka Cruz Aguilar



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