Urology Case Reports (Nov 2024)

Closure of the initial surgical wound resulting in successful treatment of a pediatric case of Fournier's gangrene: A case report

  • Kohei Mori,
  • Yutaka Shiono,
  • Soichiro Shimura,
  • Shuhei Hirano,
  • Dai Koguchi,
  • Masaomi Ikeda,
  • Hideyasu Tsumura,
  • Daisuke Ishii,
  • Kazumasa Matsumoto

Journal volume & issue
Vol. 57
p. 102860

Abstract

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Fournier's gangrene is a severe type of necrotizing fasciitis that affects the perineal and genital regions. Because of its rapid progression, Fournier's gangrene is associated with high mortality and morbidity rates. Surgical treatment of Fournier's gangrene requires leaving the wound open and performing multiple debridement procedures. We report a case of Fournier's gangrene caused by Streptococcus anginosus in a 9-year-old boy with severe autism. Because of the patient's condition, surgical treatment included thorough debridement and closure of the initial wound under general anesthesia. This case was successfully treated and the patient was discharged without infection recurrence.

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