Fournier Gangrene in the Emergency Department: Diagnostic Dilemmas, Treatments and Current Perspectives.
emergency
infectious disease
necrotizing fasciitis
necrotizing soft tissue infections
Journal
Open access emergency medicine : OAEM
ISSN: 1179-1500
Titre abrégé: Open Access Emerg Med
Pays: New Zealand
ID NLM: 101570796
Informations de publication
Date de publication:
2020
2020
Historique:
received:
27
05
2020
accepted:
07
10
2020
entrez:
18
11
2020
pubmed:
19
11
2020
medline:
19
11
2020
Statut:
epublish
Résumé
Fournier gangrene (FG) is a rare and life-threatening urosurgical emergency characterized most often by a polymicrobial infection of the perineal, genital, or perianal region. FG has an increased incidence in male patients, patients with alcoholism, and patients with immunocompromise including human immunodeficiency virus (HIV) and uncontrolled diabetes. FG often begins as a simple abscess or cellulitis with progression to necrotizing soft tissue infection (NSTI). Delays in diagnosis and treatment confer high mortality. Early recognition and high clinical suspicion are important in making a timely diagnosis, as early manifestations are often subtle. The most significant modifiable risk factor associated with NSTI mortality is delay to surgical intervention. Coordination of both inpatient medical and surgical teams to implement appropriate therapy is vital to successful outcomes. The emergency medicine clinician must be vigilant for this condition and be aware of risk factors, prognostic indicators, and proper treatment protocols to recognize FG early and initiate appropriate management. The objective of this review is to provide updated and relevant information regarding recognition, diagnosis, and management of FG for the emergency medicine provider.
Identifiants
pubmed: 33204184
doi: 10.2147/OAEM.S238699
pii: 238699
pmc: PMC7665443
doi:
Types de publication
Journal Article
Review
Langues
eng
Pagination
353-364Informations de copyright
© 2020 Auerbach et al.
Déclaration de conflit d'intérêts
The authors report no conflicts of interest in this work.
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