<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2007-4085</journal-id>
<journal-title><![CDATA[Revista mexicana de urología]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. mex. urol.]]></abbrev-journal-title>
<issn>2007-4085</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Mexicana de Urología]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2007-40852024000300006</article-id>
<article-id pub-id-type="doi">10.48193/fw37vf52</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Gangrena de Fournier en paciente portador de catéter doble jota retenido]]></article-title>
<article-title xml:lang="en"><![CDATA[Fournier's gangrene related to the use of double j-stent: a case report]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sierra-Peláez]]></surname>
<given-names><![CDATA[Óscar Alberto]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vélez-Román]]></surname>
<given-names><![CDATA[Juan Carlos]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Infante-Burgos]]></surname>
<given-names><![CDATA[Ronald Javier]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Umaña-Peña]]></surname>
<given-names><![CDATA[Maryan José]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Cartagena  ]]></institution>
<addr-line><![CDATA[Cartagena ]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2024</year>
</pub-date>
<volume>84</volume>
<numero>3</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2007-40852024000300006&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2007-40852024000300006&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2007-40852024000300006&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Caso clínico:  Paciente masculino de 30 años con antecedentes de ureterolitotomía endoscópica hace cinco años más colocación de catéter doble J. En el examen clínico se observó edema, rubor y calor, que se extendía hasta la base y cuerpo del pene. Se realizaron exámenes de laboratorio, ecografía de tejidos blandos y urotomografía, evidenciando hallazgos de necrosis gaseosa y acumulación de detritos en el área perineal y la base del pene. Se realizó drenaje quirúrgico, dando positivo a Escherichia coli. El diagnóstico fue gangrena de Fournier. Se realizó manejo intrahospitalario, incluyendo cubrimiento de amplio espectro por 14 días, con descenso progresivo de leucocitos y resolución parcial de herida, con posterior alta médica, con manejo y seguimiento ambulatorio con clínica de heridas, con resolución exitosa.  Relevancia:  La gangrena de Fournier es una infección progresiva necrotizante en los tejidos blandos de los genitales externos y/o perineo. Ésta generalmente ocurre en hombres mayores y se considera una urgencia urológica debido a su rápida progresión y alta letalidad; inclusive aún bajo la administración de antibióticos de amplio espectro y un extenso desbridamiento quirúrgico, podría ser fatal. Entre sus factores predisponentes esta la diabetes mellitus, falla renal, obesidad, alcoholismo, alucinógenos, esteroides, tabaquismo, cánceres y VIH.  Implicaciones clínicas:  Las principales implicaciones prácticas de este reporte están relacionadas con mayor control, seguimiento y vigilancia a los portadores de catéteres doble J. En este sentido, se sugiere que este tipo de dispositivos médicos que son usados en urología sean removidos en los tiempos establecidos, disminuyendo probabilidad de complicaciones e infecciones debido al uso inadecuado.  Conclusiones:  el catéter doble J retenido hace 5 años, podría estar asociado como agente causal de la gangrena de Fournier, teniendo en cuenta que no cursa con enfermedades de base, siendo este antecedente quirúrgico el dato más relevante, apoyados con los resultados obtenidos del cultivo de secreción y urocultivo. Por lo tanto, todos los pacientes que porten este tipo de dispositivos, de uso frecuente en el área urológica, deben realizarse la extracción de estos, en los tiempos indicados, logrando así disminuir la probabilidad de desarrollar complicaciones y/o algún tipo de infección.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Case report:  A 30-year-old male patient with a history of endoscopic ureterolithotomy 5 years ago along with the placement of a double J catheter. On clinical examination, swelling, redness, and warmth extending to the base and body of the penis were observed. Laboratory tests, soft tissue ultrasound, and Urotomography were performed, revealing findings of gas necrosis and accumulation of debris in the perineal area and the base of the penis. Surgical drainage was performed, yielding positive results for Escherichia coli. The diagnosis was Fournier's gangrene. Intrahospital management was carried out, including broad-spectrum coverage for 14 days, with a progressive decrease in leukocytes and partial wound resolution, followed by medical discharge. The patient received outpatient management and follow-up at the wound clinic, resulting in successful resolution.  Relevance:  Fournier's gangrene is a progressive necrotizing, soft tissues infection, affecting the external genitals and/or perineum. It generally occurs in older men and is considered a urological emergency due to its rapid progression and high lethality; even under the administration of broad-spectrum antibiotics and extensive surgical debridement, it could be fatal. Among its predisposing factors are diabetes mellitus, kidney failure, obesity, alcoholism, hallucinogens, steroids, smoking, cancers, and HIV.  Clinical implications:  The main practical implications of this report are related to increased control, monitoring, and surveillance of patients with double J catheters. In this regard, it is suggested that such medical devices, which are used in urology, be removed at the established times, reducing the probability of complications and infections due to improper use.  Conclusion:  The retained double J catheter for 5 years could potentially be associated as a causative agent of Fournier's gangrene, especially considering the absence of underlying medical conditions, with this surgical history being the most relevant factor, supported by the results obtained from secretion culture and urine culture. Therefore, all patients who have such devices, commonly used in urology, should undergo timely extraction to reduce the probability of developing complications and/or any type of infection.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[Fournier's gangrene]]></kwd>
<kwd lng="en"><![CDATA[necrotizing fasciitis]]></kwd>
<kwd lng="en"><![CDATA[double J catheter]]></kwd>
<kwd lng="es"><![CDATA[Gangrena de Fournier]]></kwd>
<kwd lng="es"><![CDATA[fascitis necrotizante]]></kwd>
<kwd lng="es"><![CDATA[catéter doble J]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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