Gangrena de Fournier

Abstract

The current degree work presented a review of the literature and clinical case analysis corresponding to Fournier's gangrene. Current information on epidemiological, etiopathogenic, diagnostic and treatment content of said entity was summarized, thus allowing interlacing of said content with the clinical case analyzed. The case of a 39 - year - old patient with no history of importance who initially goes to a health house for presenting abdominal pain and testicular edema of 13 days before admission is considered. At the time of hospitalization, the patient is assessed, complementary and imaging tests are performed, and it is classified as septic soft tissue shock, Fournier gangrene vs necrotizing fasciitis, multiple organ diffusion (coagulation, metabolic, hepatic), thrombocytopenia and hyponatremia. Surgical cleaning was performed several times, in addition to the start of transfer to the third level Hospital but there was nosuccessful response, so antibiotics were directed, aggressive and broad - spectrum therapy, corticosteroid, sedoanalgesia, fluid therapy and mechanical ventilation previously, obtaining favorable results, concluding that although the patient was in a second level Hospital and did not have the requirements for the appropriate control of the development of the disease, the doctors as a whole knew how to provide the treatment in a timely manner suitable to obtain the favorable and successful evolution of the patient .