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Journals / Journal of Experimental and Clinical Medicine / 2021 / Cilt: 38 - Sayı: 4

Coexistence of Human Immuno deficiency Virus ,Diabetes Mellitus, Epididymal Cysts , and Fournier's Gangrene: A Case Report

Evrim KAR
Hatice Şeyma AKÇA
Serdar ÖZDEMİR
Abdullah ALGIN
Serkan Emre EROĞLU
Pages
669–671
Publication Date
2021-10-09
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Clinical suspicion in Fournier's gangrene cases, early surgical debridement, and broad-spectrum anti biotherapy are important. with rapid diagnosis and treatment in patients with improvement can also be seen in patients with comorbidities.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Fournier's gangrene (FG) is a form of necrotizing fasciitis that is localized in the external genital organs and perianal region and causes skin and subcutaneous tissue gangrene.
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Key Findings & Data:In this case report, we highlighted the importance of emergency debridement in patients with multiple comorbidities by presenting the Fournier's Gangrene case in a 57-year-old immunosuppressive male patient with cystic lesions in the epididymis, with a history of hypertension, coronary artery disease, diabetes, HIV (human immunodeficiency virus) and a history of bipolar disorder.
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Conclusion & Impact:Clinical suspicion in Fournier's gangrene cases, early surgical debridement, and broad-spectrum anti biotherapy are important. with rapid diagnosis and treatment in patients with improvement can also be seen in patients with comorbidities.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Fornier's gangrene · epididymal cyst · diabetes mellitus

Abstract

Fournier's gangrene (FG) is a form of necrotizing fasciitis that is localized in the external genital organs and perianal region and causes skin and subcutaneous tissue gangrene. The clinical picture may vary depending on the patient's comorbidities and the extent of infection; Many predisposing conditions such as immunodeficiency, diabetes, alcoholism encourage the spread of the infection. In this case report, we highlighted the importance of emergency debridement in patients with multiple comorbidities by presenting the Fournier's Gangrene case in a 57-year-old immunosuppressive male patient with cystic lesions in the epididymis, with a history of hypertension, coronary artery disease, diabetes, HIV (human immunodeficiency virus) and a history of bipolar disorder. The patient, who was operated on for debridement by the urology, was given 1x500mg daptomycin, 3x1g meropenem, 3x450mg clindamycin IV treatment. The patient was discharged with full recovery after 17 days of hospitalization. Clinical suspicion in Fournier's gangrene cases, early surgical debridement, and broad-spectrum anti biotherapy are important. with rapid diagnosis and treatment in patients with improvement can also be seen in patients with comorbidities.

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Cite This Article

KAR, E., AKÇA, H. Ş., ÖZDEMİR, S., ALGIN, A., EROĞLU, S. E. (2021). Coexistence of Human Immuno deficiency Virus ,Diabetes Mellitus, Epididymal Cysts , and Fournier's Gangrene: A Case Report. Journal of Experimental and Clinical Medicine, Cilt: 38 - Sayı: 4, 669–671. https://ajindex.com/articles/677898

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