Genital Necrotizing Fasciitis: Fournier’s Gangrene.
In the specialty of Obstetrics and Gynecology is a rare infectious complication.
Necrotizing fasciitis is a term that describes a disease condition of rapidly spreading infection,
usually located in fascial planes of connective tissue necrosis.
It presents greater predisposition towards males with a ratio of 1 woman for every 10 men.
Despite its rarity, high morbidity and mortality, accompanied by the speed of disease progression
make the process a medical emergency that must be diagnosed quickly to allow adequate treatment
to combat its fatal consequences.
The percentages of secondary death itself, are around 22-40%3 although there is a wide range
depending on the series ranging from 6 to 76% Below, we are going to introduce a case which
it was addressed in our Department of Gynecology of the Clinical Hospital of Santiago de Compostela;
case whose primary source is rare, within the rarity of the entity in question.
Ten-days after the diagnosis the patient comes to the emergency room with a severe
case of hemodynamic inestability; entering the emergency room under the diagnosis
of diabetic hyperosmolar decompensation, as a result of the suspension of their usual
medication with a superimposed sepsis caused in the genital area.
At this time, resuscitation equipment is necessary to stabilize the patient,
correcting her diabetic hyperosmolar decompensation and initiate and antibiotic
coverage with amoxicillin clavulanate 1 g intravenously every eight hours and a single dose
of intravenous tazobactam.
Genital Necrotizing Fasciitis: Fournier’s Gangrene.
Dermatol Open J. 2016; 1(2): 30-34. doi: 10.17140/DRMTOJ-1-109
