Management protocol for Fournier’s gangrene in sanitary regime caused by SARS-CoV-2 pandemic:A case report  

作　　者：Agnieszka Grabińska Łukasz Michalczyk Beata Banaczyk Tomasz Syryło Tomasz Ząbkowski 

机构地区：[1]Department of Urology,Military Institute of Medicine,Warsaw 04-141,Poland [2]Department of Urology and Oncologic Urology,Praski Hospital in Warsaw,Warsaw 04-141,Poland

出　　处：《World Journal of Clinical Cases》2021年第5期1215-1220,共6页世界临床病例杂志

摘　　要：BACKGROUND Fournier's gangrene(FG)is a serious,aggressive and often deadly polymicrobial infection of the soft tissues of the perineum,the rectum and the external genital organs.It is an anatomical subcategory of necrotizing fasciitis,which has a similar etiology and treatment strategy.CASE SUMMARY A 60-year-old man was admitted to the hospital during severe acute respiratory syndrome coronavirus 2 pandemic with complaints of fever up to 38.9°C,abdominal pain,and edema of the scrotum,the penis,the perineum,and the right gluteal region for 2 d.Computed tomography of the abdomen and the pelvis revealed extensive inflammatory infiltrations of the subcutaneous tissue of the hypogastrium,and the penis;along with liquefaction and presence of gas in the subcutaneous tissues of the scrotum,the perineum,and the right gluteal region.The patient was diagnosed with FG,and was urgently qualified to undergo surgery in the Department of Urology.After performing the necessary examinations,a resection of the necrotic tissues with bilateral orchiectomy and excision of the penile and scrotal skin was performed.After surgery,he was transferred to the intensive care unit for further management.CONCLUSION Early management prevents the resection of the other organs by inhibiting the contiguous spread of infection.

关 键 词：Fournier’s gangrene Management Negative pressure wound therapy Treatment ORCHIECTOMY Case report Necrotic tissues SARS-CoV-2 

分 类 号：R633.2[医药卫生—外科学]