Fournier’s gangrene by perianal abscess

Journal of Coloproctology - Tập 40 - Trang 334-338 - 2020
Natiele Santos de Souza1, Djoney Rafael dos Santos2, André Pereira Westphalen3, Fernando Antonio Campelo Spencer Netto4
1Hospital Norte Paranaense, Cirurgia Geral, Maringá, PR, Brazil
2Hospital do Câncer de Cascavel, União Oeste Paranaense de Estudos e Combate ao Câncer, Cancerologia Cirúrgica, Cascavel, PR, Brazil
3Universidade Estadual do Oeste do Paraná, Cascavel, PR, Brazil
4Royal College of Physicians and Surgeons of Canada, Canada

Tóm tắt

AbstractObjective To describe and analyze the cases of Fournier’s Gangrene caused by perianal abscess treated in a tertiary hospital in western Paraná, correlating possible factors that influence mortality, with emphasis on late diagnosis and therapy.Methods A retrospective and descriptive case series was carried out based on the analysis of medical records of patients with Fournier’s Gangrene due to perianal abscess from January 2012 to December 2017.Results Thirty-one patients with Fournier’s Gangrene due to perianal abscess were treated in the period: 26 men and 5 women. Mean age was 53.51 ± 14.5 years. The most prevalent comorbidity in this group was type 2 diabetes mellitus, showing a strong correlation with mortality. The mean time from disease progression, from the initial symptom to the admission at the service, was 9.6 ± 6.81 days. All patients were submitted to antibiotic therapy and surgical treatment, with a mean of 3.25 ± 2.89 procedures/patient. Seven (22.58%) patients died and all of them showed signs of sepsis on admission; only 2 patients with sepsis did not die.Conclusion The presence of sepsis on admission and type 2 diabetes mellitus were strongly correlated with mortality.

Tài liệu tham khảo

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Thông tin xuất bản

Journal of Coloproctology

Tập 40

334-338

Thông tin tác giả