Sindrome di Fournier: approccio multidisciplinare

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COD: 2001_03_355-360 Categorie: ,

G. Vescio, M. Battaglia, L. Sommella, G. Gallelli, F. Ma n zo, S.F. Cristiano, A. Valente, S. Musella

Ann. Ital. Chir., LXXII, 3, 2001

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Fournier’s gangrene, a form of necrotizing fasciitis, is an uncommon, fulminant, rapidly progressing subcutaneous infection of the scrotum and genito-perineal region, and may occur in all age groups. Most cases involve a mixed synergistic infection of aerobic and anaerobic bacteria, and occur as a result of one of this mechanisms: local trauma, extension from a perineal, periurethral or ischiorectal infection. It is associated with a high mortality rate. Predisposing factors included diabetes mellitus, steroids or chemotherapy, alcohol abuse, malignancy and radiation therapy. This disease requires prompt treatment: early diagnosis, antibiotic therapy, nutritional support, immediate extensive surgical debridement and hyperbaric oxygen therapy. The use of etherologue serum is a valuable adjunct in the therapy of Fournier’s gangrene. We report a case of Fournier’s syndrome treated with etherologue serum immuno-therapy, together with the conventional multidisciplinary approach.