A Case of Ketoacidosis Decompensation Revealing a Fournier’s Gangrene at the Early Stage

Abstract

Listen

Translate article

A 81-year-old man with a 5-year history of diabetes mellituswas admitted for ketotic decompensation. On admission, the patient was found to be asthenic, drowsy, dehydrated and ketotic. The scrotum was grossly swollen with early patches of gangrene. On the biological assessment: C-reactive protein 264 mg/dl, serum potassium was low at 2.8 mmol/l. A scrotal ultrasound revealed a low abundance right hydrocele with edematous infiltration of scrotal envelopes. The patient was put on: intravenous insulin, fluids, potassium, and a broad empirical antibiotic therapy without any need for surgery with a good clinical and biological evolution.