Abstract

VILLALBA A, J et al. Fournier’s disease. Our experience. An. Fac. Cienc. Méd. (Asunción) [online]. 2005, vol.38, n.3, pp.52-56. ISSN 1816-8949.

      Introduction: The Fournier’s disease is a gangrene of soft tissue from the perineal of genital area. Caused by the synergic action of aerobic and anaerobic microorganisms, with evolution may be lethal and it appearance is a frequent in the general surgery services.       This study revises data from clinic charge diseases of base, origin, treatment and results.       Patients and methods: This study is observational, descriptive and retrospective of 46 patients with Fournier’s disease, treaded in the 2º CCQca., HC, FCM-UNA, and Hosp.Nac.Itauguà, in the period of time of 10 years. From march of 1995 to fever of 2005.       Results: 37(80,4%) patients were male and 9(19,6%) were women.       The average age was 62 years (from 35 to 85 years old).       The etiology was anal abscess in 35(76,2%) patients, urology pathologies in 10(21,7%) patients and in 1(2,1%) patient piodermitis. The most common sin toms were fever and pain ( 36 and 32 respectively). The pathology of base most frequent was de Diabetes Mellitus in 28 patients , were Arthritis Reumatoidea in 1 patient, chronic elitism 1 patient, Tuberculosis in 1 patient.       The treatment was surgery with great debridement in more than one opportunity in all of cases, citostomy in 2 patients and colostomy in 22 patients, the antibioticoterapy was cefotaxima of ciprofloxacin with metronidazol. 18 patient’s ingresses to ICU, 7 died for septic shock.       Time of light was 45 days (range 4-201 days).       Conclusions: The clinical manifestations allayed us to diagnosis. The treatment must be quick and aggressive with large dissections.       More than the half of cases the origin was anal and perianal infections, and the frequent disease associated and predispose was the Diabetes Mellitus.

Keywords : The Fournier’s disease; Treatment; Results.

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