Fournier gangrene history and symptoms: Difference between revisions
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==Overview== | ==Overview== | ||
===History=== | |||
A detailed and thorough history from the patient is necessary. Specific areas of focus when obtaining a history from the patient include:<ref name="pmid2294630">{{cite journal| author=Clayton MD, Fowler JE, Sharifi R, Pearl RK| title=Causes, presentation and survival of fifty-seven patients with necrotizing fasciitis of the male genitalia. | journal=Surg Gynecol Obstet | year= 1990 | volume= 170 | issue= 1 | pages= 49-55 | pmid=2294630 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=2294630 }} </ref><ref name="pmid12516849">{{cite journal| author=Morpurgo E, Galandiuk S| title=Fournier's gangrene. | journal=Surg Clin North Am | year= 2002 | volume= 82 | issue= 6 | pages= 1213-24 | pmid=12516849 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=12516849 }} </ref><ref name="pmid10584624">{{cite journal| author=Vick R, Carson CC| title=Fournier's disease. | journal=Urol Clin North Am | year= 1999 | volume= 26 | issue= 4 | pages= 841-9 | pmid=10584624 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=10584624 }} </ref> | |||
*Trauma | |||
*Alcohol misuse | |||
*[[Immunosupression]] | |||
*[[Chemotherapy]] | |||
*Chronic [[corticosteroid]] use | |||
*[[HIV]] | |||
*[[Leukemia]] | |||
*Liver disease | |||
*Debilitating illness | |||
*[[Malignancy]] | |||
*[[Cytotoxic drugs]] | |||
*Abdominal disease | |||
*Surgery | |||
*[[Epididymitis]] or [[orchitis]] | |||
===Symptoms=== | |||
The symptoms of Fournier gangrene include:<ref name="pmid23251819">{{cite journal| author=Mallikarjuna MN, Vijayakumar A, Patil VS, Shivswamy BS| title=Fournier's Gangrene: Current Practices. | journal=ISRN Surg | year= 2012 | volume= 2012 | issue= | pages= 942437 | pmid=23251819 | doi=10.5402/2012/942437 | pmc=3518952 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23251819 }} </ref><ref name="pmid15302463">{{cite journal| author=Yeniyol CO, Suelozgen T, Arslan M, Ayder AR| title=Fournier's gangrene: experience with 25 patients and use of Fournier's gangrene severity index score. | journal=Urology | year= 2004 | volume= 64 | issue= 2 | pages= 218-22 | pmid=15302463 | doi=10.1016/j.urology.2004.03.049 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15302463 }} </ref> | |||
*Pain and swelling in the scrotum | |||
*[[Erythema]] | |||
*Discoloration of involved skin | |||
*[[Purulent|Purulence]] or wound discharge | |||
*Pallor | |||
*Fever >38°C | |||
*[[Crepitus|Crepitation]] | |||
*[[Prostration]] | |||
*Fluctuance | |||
*Fetid odour | |||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} |
Revision as of 21:13, 6 September 2017
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Steven C. Campbell, M.D., Ph.D.; Associate Editor(s)-in-Chief: Yamuna Kondapally, M.B.B.S[1]; Jesus Rosario Hernandez, M.D. [2]
Overview
History
A detailed and thorough history from the patient is necessary. Specific areas of focus when obtaining a history from the patient include:[1][2][3]
- Trauma
- Alcohol misuse
- Immunosupression
- Chemotherapy
- Chronic corticosteroid use
- HIV
- Leukemia
- Liver disease
- Debilitating illness
- Malignancy
- Cytotoxic drugs
- Abdominal disease
- Surgery
- Epididymitis or orchitis
Symptoms
The symptoms of Fournier gangrene include:[4][5]
- Pain and swelling in the scrotum
- Erythema
- Discoloration of involved skin
- Purulence or wound discharge
- Pallor
- Fever >38°C
- Crepitation
- Prostration
- Fluctuance
- Fetid odour
References
- ↑ Clayton MD, Fowler JE, Sharifi R, Pearl RK (1990). "Causes, presentation and survival of fifty-seven patients with necrotizing fasciitis of the male genitalia". Surg Gynecol Obstet. 170 (1): 49–55. PMID 2294630.
- ↑ Morpurgo E, Galandiuk S (2002). "Fournier's gangrene". Surg Clin North Am. 82 (6): 1213–24. PMID 12516849.
- ↑ Vick R, Carson CC (1999). "Fournier's disease". Urol Clin North Am. 26 (4): 841–9. PMID 10584624.
- ↑ Mallikarjuna MN, Vijayakumar A, Patil VS, Shivswamy BS (2012). "Fournier's Gangrene: Current Practices". ISRN Surg. 2012: 942437. doi:10.5402/2012/942437. PMC 3518952. PMID 23251819.
- ↑ Yeniyol CO, Suelozgen T, Arslan M, Ayder AR (2004). "Fournier's gangrene: experience with 25 patients and use of Fournier's gangrene severity index score". Urology. 64 (2): 218–22. doi:10.1016/j.urology.2004.03.049. PMID 15302463.