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Fournier's gangrene – a case report –

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タイトル: Fournier's gangrene – a case report –
著者: Miyamoto, Takashi / Fukushima, Tatsuya / Taguchi, Kenji / Sata, Kiyoshi / Yonekura, Akihiko / Tomita, Masato / Osaki, Makoto
発行日: 2017年 1月
出版者: Nagasaki University School of Medicine / 長崎大学医学部
引用: Acta medica Nagasakiensia, 61(1), pp.37-40; 2017
抄録: We report a case of Fournier's gangrene in a patient with underlying untreated diabetes. A 42-year-old woman noticed induration of the left vulva and was prescribed antibiotics by a local physician. However, symptoms were unimproved, so she was transferred for further evaluated in the Department of Obstetrics and Gynecology at our hospital. A soft tissue infection was suspected, and she was referred to our department. The patient had a temperature of 38.8°C, examination revealed erythema and swelling extending from the left vulva to the left medial thigh, and blood tests indicated a high degree of inflammation. Plain radiography showed gas formation in the left inguinal region, and magnetic resonance imaging (MRI) revealed necrotizing fasciitis. Fournier's gangrene was diagnosed, and emergency debridement was performed. The infection subsided with antibiotic therapy and repeated debridements. Fournier's gangrene can be fatal if diagnosed late. Early diagnosis by MRI, defining the extent of necrosis, and early debridement are useful. Negative pressure wound therapy (NPWT) was useful to treat the open wound after debridement.
キーワード: Fournier’s gangrene / Magnetic resonance imaging(MRI) / Negative pressure wound therapy
URI: http://hdl.handle.net/10069/37082
ISSN: 00016055
資料タイプ: Departmental Bulletin Paper
原稿種類: publisher
出現コレクション:Volume 61, No. 1

引用URI : http://hdl.handle.net/10069/37082



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