Differentiating Fournier gangrene from other diseases: Difference between revisions
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==Overview== | ==Overview== | ||
Fournier gangrene is caused by mixed [[aerobic]] and [[anaerobic]] organisms which normally exist below the [[pelvic diaphragm]] in the [[perineum]] and [[genitalia]].<ref name="pmid10848848">{{cite journal| author=Eke N| title=Fournier's gangrene: a review of 1726 cases. | journal=Br J Surg | year= 2000 | volume= 87 | issue= 6 | pages= 718-28 | pmid=10848848 | doi=10.1046/j.1365-2168.2000.01497.x | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=10848848 }} </ref> | Fournier gangrene is caused by mixed [[aerobic]] and [[anaerobic]] organisms which normally exist below the [[pelvic diaphragm]] in the [[perineum]] and [[genitalia]].<ref name="pmid10848848">{{cite journal| author=Eke N| title=Fournier's gangrene: a review of 1726 cases. | journal=Br J Surg | year= 2000 | volume= 87 | issue= 6 | pages= 718-28 | pmid=10848848 | doi=10.1046/j.1365-2168.2000.01497.x | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=10848848 }} </ref><ref>{{cite journal |author=Thwaini A, Khan A, Malik A, Cherian J, Barua J, Shergill I, Mammen K |title=Fournier's gangrene and its emergency management |journal=Postgrad Med J |volume=82 |issue=970 |pages=516-9 |year=2006 |id=PMID 16891442}}</ref> | ||
==Differentiating Fournier gangrene from Other Diseases== | ==Differentiating Fournier gangrene from Other Diseases== | ||
Fournier gangrene must be differentiated from other diseases that cause [[pain]], [[swelling]], [[erythema]], [[discharge]] and raised temperature ([[fever]]) such as:<ref name=Fournier's>Fournier's gangrene https://radiopaedia.org/articles/fournier-gangrene (2016) Accessed on October 12, 2016 </ref><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> | Fournier gangrene must be differentiated from other diseases that cause [[pain]], [[swelling]], [[erythema]], [[discharge]] and raised temperature ([[fever]]) such as:<ref name="Fournier's">Fournier's gangrene https://radiopaedia.org/articles/fournier-gangrene (2016) Accessed on October 12, 2016 </ref><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> | ||
*[[abscess|Scrotal abscess]] | *[[abscess|Scrotal abscess]] | ||
*[[Herpes simplex]] | *[[Herpes simplex]] | ||
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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
Fournier gangrene is caused by mixed aerobic and anaerobic organisms which normally exist below the pelvic diaphragm in the perineum and genitalia.[1][2]
Differentiating Fournier gangrene from Other Diseases
Fournier gangrene must be differentiated from other diseases that cause pain, swelling, erythema, discharge and raised temperature (fever) such as:[3][4]
- Scrotal abscess
- Herpes simplex
- Cellulitis
- Strangulated hernia
- Streptococcal necrotizing fasciitis
- Gonococcal balanitis and edema
- Vascular occlusion syndromes
- Allergic vasculitis
- Pyoderma gangrenosum
- Necrolytic migratory erythema
- Ecthyma gangrenosum
- Warfarin necrosis
- Polyarteritis nodosa
References
- ↑ Eke N (2000). "Fournier's gangrene: a review of 1726 cases". Br J Surg. 87 (6): 718–28. doi:10.1046/j.1365-2168.2000.01497.x. PMID 10848848.
- ↑ Thwaini A, Khan A, Malik A, Cherian J, Barua J, Shergill I, Mammen K (2006). "Fournier's gangrene and its emergency management". Postgrad Med J. 82 (970): 516–9. PMID 16891442.
- ↑ Fournier's gangrene https://radiopaedia.org/articles/fournier-gangrene (2016) Accessed on October 12, 2016
- ↑ 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.