Fournier’s gangrene is a rare and life-threatening condition. It mainly affects men. Progress in resuscitation has reduced its mortality rate but it remains very high. We report a case of Fournier’s gangrene in a 30-year-old male patient admitted to our emergency room for 24 hours history of a bilateral painful scrotal swelling with fever. In his prior history the patient was followed for squamous cell carcinoma of the bladder with ureteral meatus invasion and renal failure. On physical examination we noted a severe sepsis: temperature was 39.2° Celsius, pulse rate was 115 beats per minute, respiratory rate was 26 breaths per minute, blood pressure was 80/60 mmHg. We noted a bilateral and painful scrotal swelling with snow crepitation in burses and edema of the penile. The Fournier’s Gangrene Severity Index was 17. After hydroelectrolytic resuscitation, a surgical debridement was performed. An antibiotherapy with third-generation cephalosporin and imidazole was administered. The patient died of septic shock 24 hours after the debridement. Through this clinical case we showed that Fournier's gangrene has a severe prognosis. FGSI is an interesting predictive score in the evaluation of the patient's vital prognosis. The association between FG and bladder tumor worsens the patient's vital prognosis. Bladder cancer and Fournier’s gangrene realize a lethal association.
| Published in | International Journal of Clinical Urology (Volume 5, Issue 1) |
| DOI | 10.11648/j.ijcu.20210501.11 |
| Page(s) | 1-3 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2021. Published by Science Publishing Group |
Fournier’s Gangrene, Lethal, Bladder Cancer
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APA Style
Fasnewinde Aristide Kabore, Moussa Kabore, Boukary Kabre, Abdoul Aziz Ouedraogo. (2021). Fournier’s Gangrene in a Patient with a Bladder Cancer: A Lethal Association. International Journal of Clinical Urology, 5(1), 1-3. https://doi.org/10.11648/j.ijcu.20210501.11
ACS Style
Fasnewinde Aristide Kabore; Moussa Kabore; Boukary Kabre; Abdoul Aziz Ouedraogo. Fournier’s Gangrene in a Patient with a Bladder Cancer: A Lethal Association. Int. J. Clin. Urol. 2021, 5(1), 1-3. doi: 10.11648/j.ijcu.20210501.11
AMA Style
Fasnewinde Aristide Kabore, Moussa Kabore, Boukary Kabre, Abdoul Aziz Ouedraogo. Fournier’s Gangrene in a Patient with a Bladder Cancer: A Lethal Association. Int J Clin Urol. 2021;5(1):1-3. doi: 10.11648/j.ijcu.20210501.11
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Download@article{10.11648/j.ijcu.20210501.11,
author = {Fasnewinde Aristide Kabore and Moussa Kabore and Boukary Kabre and Abdoul Aziz Ouedraogo},
title = {Fournier’s Gangrene in a Patient with a Bladder Cancer: A Lethal Association},
journal = {International Journal of Clinical Urology},
volume = {5},
number = {1},
pages = {1-3},
doi = {10.11648/j.ijcu.20210501.11},
url = {https://doi.org/10.11648/j.ijcu.20210501.11},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcu.20210501.11},
abstract = {Fournier’s gangrene is a rare and life-threatening condition. It mainly affects men. Progress in resuscitation has reduced its mortality rate but it remains very high. We report a case of Fournier’s gangrene in a 30-year-old male patient admitted to our emergency room for 24 hours history of a bilateral painful scrotal swelling with fever. In his prior history the patient was followed for squamous cell carcinoma of the bladder with ureteral meatus invasion and renal failure. On physical examination we noted a severe sepsis: temperature was 39.2° Celsius, pulse rate was 115 beats per minute, respiratory rate was 26 breaths per minute, blood pressure was 80/60 mmHg. We noted a bilateral and painful scrotal swelling with snow crepitation in burses and edema of the penile. The Fournier’s Gangrene Severity Index was 17. After hydroelectrolytic resuscitation, a surgical debridement was performed. An antibiotherapy with third-generation cephalosporin and imidazole was administered. The patient died of septic shock 24 hours after the debridement. Through this clinical case we showed that Fournier's gangrene has a severe prognosis. FGSI is an interesting predictive score in the evaluation of the patient's vital prognosis. The association between FG and bladder tumor worsens the patient's vital prognosis. Bladder cancer and Fournier’s gangrene realize a lethal association.},
year = {2021}
}
TY - JOUR T1 - Fournier’s Gangrene in a Patient with a Bladder Cancer: A Lethal Association AU - Fasnewinde Aristide Kabore AU - Moussa Kabore AU - Boukary Kabre AU - Abdoul Aziz Ouedraogo Y1 - 2021/01/04 PY - 2021 N1 - https://doi.org/10.11648/j.ijcu.20210501.11 DO - 10.11648/j.ijcu.20210501.11 T2 - International Journal of Clinical Urology JF - International Journal of Clinical Urology JO - International Journal of Clinical Urology SP - 1 EP - 3 PB - Science Publishing Group SN - 2640-1355 UR - https://doi.org/10.11648/j.ijcu.20210501.11 AB - Fournier’s gangrene is a rare and life-threatening condition. It mainly affects men. Progress in resuscitation has reduced its mortality rate but it remains very high. We report a case of Fournier’s gangrene in a 30-year-old male patient admitted to our emergency room for 24 hours history of a bilateral painful scrotal swelling with fever. In his prior history the patient was followed for squamous cell carcinoma of the bladder with ureteral meatus invasion and renal failure. On physical examination we noted a severe sepsis: temperature was 39.2° Celsius, pulse rate was 115 beats per minute, respiratory rate was 26 breaths per minute, blood pressure was 80/60 mmHg. We noted a bilateral and painful scrotal swelling with snow crepitation in burses and edema of the penile. The Fournier’s Gangrene Severity Index was 17. After hydroelectrolytic resuscitation, a surgical debridement was performed. An antibiotherapy with third-generation cephalosporin and imidazole was administered. The patient died of septic shock 24 hours after the debridement. Through this clinical case we showed that Fournier's gangrene has a severe prognosis. FGSI is an interesting predictive score in the evaluation of the patient's vital prognosis. The association between FG and bladder tumor worsens the patient's vital prognosis. Bladder cancer and Fournier’s gangrene realize a lethal association. VL - 5 IS - 1 ER -
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