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Revista Médica La Paz

versión On-line ISSN 1726-8958

Resumen

AGUILA GOMEZ, Mauricio Vicente; SALAS VILLANUEVA, Wilmer; BARBOSA, Nicholas  y  WERLE, Renato. FOURNIER GANGRENE, NEW STRATEGIES FOR AN BAD OLD: PRESENTATION OF A CASE AND REVIEW OF THE LITERATURE. Rev. Méd. La Paz [online]. 2016, vol.22, n.2, pp. 50-55. ISSN 1726-8958.

Objective: Exposing a case of Fournier gangrene at the same time, expand knowledge theoretical-practical about this disease, media diagnostic and Clinical-surgical experimental Therapeutics employed; thus evaluating consequential outcomes and long-term impact. Venue: Municipal Hospital Los Pinos, second level La Paz, Bolivia Design: Presentation of clinical case. Introduction: Fournier gangrene is a fulminant and progressive Necrotizing, infectious, synergistic and polymicrobial Fasciitis of the perineal region. Clinical Case: 56-year-old male patient conducted the semiotic review, laboratory studies, and imaging, evidence box compatible with Fournier's gangrene. Performed drainage and necrosectomy, as well as surgical cleaning and installation of an experimental continuous washing system. The pathological report: necrotic tissue of liquefaction, compatible with Necrotizing Fasciitis, acute inflammatory reaction. Patient was controlled in outpatient for cures and delayed closing of perineum and scrotal pouch. Discussion: Fournier gangrene is a lethal surgical emergency, requires aggressive, timely and multidisciplinary treatment. The three pillars of the treatment applicable are: a) Debridement of necrotic tissue, b) systemic support water-electrolyte, nutritional and antibiotic broad-spectrum, c) repair of affected tissues.

Palabras clave : gangrene; abscess; Fournier.

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