Abstract
Abstract Fournier syndrome is a synergistic polymicrobial infection that mainly affects the perianal, perineal and genital regions. It is a relatively rare disease with high mortality and an estimated overall incidence of 1.6/100,000 men. Diagnosis is clinical and an early detection is crucial to improve patient outcomes. Treatment is based on three pillars: initial patient stabilization, broad-spectrum antibiotic therapy and extensive surgical debridement of the entire necrotic area. Currently, hyperbaric oxygen therapy has been used as an adjunctive treatment. This study aimed to report the case of a patient with Fournier syndrome who underwent the three-pillar treatment and also hyperbaric oxygenation with a satisfactory result.
Highlights
Fournier syndrome, known as Fournier gangrene, is a polymicrobial infection caused by aerobic and anaerobic bacteria, of synergistic character, mainly affecting the perianal, perineal and genital regions [1,2]
This study aimed to report the case of a patient with Fournier syndrome who underwent the three-pillar treatment and hyperbaric oxygenation with a satisfactory result
Detection is of paramount importance to improve patient outcomes and the treatment is based on three pillars: initial stabilization of the patient, broad-spectrum antibiotic therapy and extensive surgical debridement of the entire necrotic area [2,8]
Summary
Known as Fournier gangrene, is a polymicrobial infection caused by aerobic and anaerobic bacteria, of synergistic character, mainly affecting the perianal, perineal and genital regions [1,2] This infectious disease process can be potentiated and spread to other regions of the body if the treatment is ineffective. Recent reports have indicated epidemiological changes of the syndrome, shifting from a younger population to individuals between the fifth and sixth decade of life [8] The manifestation of this disease is insidious and the patients present with pain (100%), erythema (100%), fever (72%), crackling sound when touching the affected area caused by the gas (62%), shock (40%) and change in the level of consciousness (32%). The perianal region was hardened, with edema, hyperemia and a fistula in the left inferolateral quadrant, about 3 cm from the anal edge
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