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Cirujano general
Print version ISSN 1405-0099
Abstract
BARAHONA-LOPEZ, Daniel Martín et al. Fournier’s gangrene at the Hospital Escuela Universitario of Tegucigalpa, Honduras. Cir. gen [online]. 2016, vol.38, n.3, pp.123-128. Epub Mar 31, 2020. ISSN 1405-0099.
Fournier’s gangrene is a necrotizing fasciitis of polymicrobial origin that affects fascia and subcutaneous tissues of the genital and perianal regions; this condition carries a high risk of morbidity and mortality due to the rapid spread that the process can have.
Objective:
To contribute to the knowledge of this disease by establishing a clinical characterization of patients treated at the University Hospital.
Material and methods:
An observational, descriptive, retrospective study of 40 cases that were reviewed between 2010 and 2015; their epidemiological, clinical and treatment data were evaluated.
Results:
Of the 40 people who were included, 37 were male and three female, establishing a ratio of 12:1. The average age was 51 years; we found increased incidence in the fifth and sixth decades of life. The main clinical manifestation was pain, in the 90.0% of the patients, followed by fever, in 67.5%, and purulent discharge, in 55.0%; the main related factor was diabetes mellitus, present in 37.5% of the participants. Proteus mirabilis was the most frequently isolated organism in crop secretion, followed by Escherichia coli.
Conclusions:
Although this condition is rare, complications and sequelae in patients are severe, so an early diagnosis and treatment should be established to reduce the rapid progress it can present.
Keywords : Fournier’s gangrene; Fournier’s syndrome; necrotizing fasciitis.