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Original Research

BTDMJB. 2005; 1(2): 57-59


A delayed mortal reason in diagnosis for patients investigated for fever etiology: Fournier’s gangrene

Aziz Sümer, Ender Onur, Ediz Altınlı, Atilla Çelik, Serkan Senger, Neşet Köksal.

Abstract
Introduction: Fournier’s Gangrene is a life threatening, rapidly progressive surgical emergency with a high mortality rate even with early
diagnosis and radical surgery.
Aim: To get a retrospective analysis of the patients who had wide debridement and medical treatment for Fournier’s Gangrene in our clinic.
Material and Methods: Four patients were evaluated retrospectively who had wide debridement and medical treatment for Fournier’s
Gangrene in Haydarpaşa Numune Hospital, 2nd General Surgery Clinic between 2003 and 2004.
Results: Female to male ratio was 2/2 with a mean age of 72. Sigmoid loop colostomy + wide debridement + antibiotherapy was
performed to all cases. Mortality rate was 50%. Remaining two cases had closure of colostomies after 10 weeks of treatment.
Conclusion: Mortality rate increases when there is a delay for diagnosis and treatment in Fournier’s Gangrene. As seen in all of our patients, especially
in the patients with fever, doing a thorough physical examination gives us an opportunity for early diagnosis and decreases the mortality rates.

Key words: Fournier's Gangrene, fever, surgical therapy



Article Language: Turkish English



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