Profile of patients with Fournier’s gangrene and their clinical evolution
Main Author: | |
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Publication Date: | 2018 |
Other Authors: | , , , |
Format: | Article |
Language: | eng |
Source: | Revista do Colégio Brasileiro de Cirurgiões |
Download full: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912018000100154 |
Summary: | ABSTRACT Objective: to analyze the profile of patients with Fournier’s gangrene treated in a public tertiary hospital in western Paraná State. Methods: we conducted a cross-sectional, retrospective and descriptive study of patients with Fournier’s gangrene treated between January 2012 and November 2016. Results: there were 40 patients with Fournier’s gangrene treated in the period, 29 (72.5%) men and 11 (27.5%) women. The mean age was 51.7±16.3 years. The mean time of disease progression, from the initial symptom to hospitalization, was 10.5±1.2 days. All patients had clinical signs such as pain, bulging, erythema, among others, and 38 (95%) had associated comorbidities, the most common being type 2 diabetes mellitus and systemic arterial hypertension. The majority (30 patients - 75%) had perianal abscess as the probable etiology. All patients were submitted to antibiotic therapy and surgical treatment, with a mean of 1.8±1.1 surgeries per patient. Nine (22.5%) patients died. There was a strong correlation between the presence of sepsis on admission and mortality. Conclusion: Fournier’s gangrene patients in this series had a long disease duration and a high prevalence of comorbidities, with a high mortality rate. |
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Profile of patients with Fournier’s gangrene and their clinical evolutionFournier GangreneFasciitis, Necrotizing /epidemiologyABSTRACT Objective: to analyze the profile of patients with Fournier’s gangrene treated in a public tertiary hospital in western Paraná State. Methods: we conducted a cross-sectional, retrospective and descriptive study of patients with Fournier’s gangrene treated between January 2012 and November 2016. Results: there were 40 patients with Fournier’s gangrene treated in the period, 29 (72.5%) men and 11 (27.5%) women. The mean age was 51.7±16.3 years. The mean time of disease progression, from the initial symptom to hospitalization, was 10.5±1.2 days. All patients had clinical signs such as pain, bulging, erythema, among others, and 38 (95%) had associated comorbidities, the most common being type 2 diabetes mellitus and systemic arterial hypertension. The majority (30 patients - 75%) had perianal abscess as the probable etiology. All patients were submitted to antibiotic therapy and surgical treatment, with a mean of 1.8±1.1 surgeries per patient. Nine (22.5%) patients died. There was a strong correlation between the presence of sepsis on admission and mortality. Conclusion: Fournier’s gangrene patients in this series had a long disease duration and a high prevalence of comorbidities, with a high mortality rate.Colégio Brasileiro de Cirurgiões2018-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912018000100154Revista do Colégio Brasileiro de Cirurgiões v.45 n.1 2018reponame:Revista do Colégio Brasileiro de Cirurgiõesinstname:Colégio Brasileiro de Cirurgiões (CBC)instacron:CBC10.1590/0100-6991e-20181430info:eu-repo/semantics/openAccessDOS-SANTOS,DJONEY RAFAELROMAN,ULISSES LUIZ TASCAWESTPHALEN,ANDRÉ PEREIRALOVISON,KELISPENCER NETO,FERNANDO ANTONIO C.eng2018-02-07T00:00:00Zoai:scielo:S0100-69912018000100154Revistahttp://www.scielo.br/rcbcONGhttps://old.scielo.br/oai/scielo-oai.php||revistacbc@cbc.org.br1809-45460100-6991opendoar:2018-02-07T00:00Revista do Colégio Brasileiro de Cirurgiões - Colégio Brasileiro de Cirurgiões (CBC)false |
dc.title.none.fl_str_mv |
Profile of patients with Fournier’s gangrene and their clinical evolution |
title |
Profile of patients with Fournier’s gangrene and their clinical evolution |
spellingShingle |
Profile of patients with Fournier’s gangrene and their clinical evolution DOS-SANTOS,DJONEY RAFAEL Fournier Gangrene Fasciitis, Necrotizing /epidemiology |
title_short |
Profile of patients with Fournier’s gangrene and their clinical evolution |
title_full |
Profile of patients with Fournier’s gangrene and their clinical evolution |
title_fullStr |
Profile of patients with Fournier’s gangrene and their clinical evolution |
title_full_unstemmed |
Profile of patients with Fournier’s gangrene and their clinical evolution |
title_sort |
Profile of patients with Fournier’s gangrene and their clinical evolution |
author |
DOS-SANTOS,DJONEY RAFAEL |
author_facet |
DOS-SANTOS,DJONEY RAFAEL ROMAN,ULISSES LUIZ TASCA WESTPHALEN,ANDRÉ PEREIRA LOVISON,KELI SPENCER NETO,FERNANDO ANTONIO C. |
author_role |
author |
author2 |
ROMAN,ULISSES LUIZ TASCA WESTPHALEN,ANDRÉ PEREIRA LOVISON,KELI SPENCER NETO,FERNANDO ANTONIO C. |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
DOS-SANTOS,DJONEY RAFAEL ROMAN,ULISSES LUIZ TASCA WESTPHALEN,ANDRÉ PEREIRA LOVISON,KELI SPENCER NETO,FERNANDO ANTONIO C. |
dc.subject.por.fl_str_mv |
Fournier Gangrene Fasciitis, Necrotizing /epidemiology |
topic |
Fournier Gangrene Fasciitis, Necrotizing /epidemiology |
description |
ABSTRACT Objective: to analyze the profile of patients with Fournier’s gangrene treated in a public tertiary hospital in western Paraná State. Methods: we conducted a cross-sectional, retrospective and descriptive study of patients with Fournier’s gangrene treated between January 2012 and November 2016. Results: there were 40 patients with Fournier’s gangrene treated in the period, 29 (72.5%) men and 11 (27.5%) women. The mean age was 51.7±16.3 years. The mean time of disease progression, from the initial symptom to hospitalization, was 10.5±1.2 days. All patients had clinical signs such as pain, bulging, erythema, among others, and 38 (95%) had associated comorbidities, the most common being type 2 diabetes mellitus and systemic arterial hypertension. The majority (30 patients - 75%) had perianal abscess as the probable etiology. All patients were submitted to antibiotic therapy and surgical treatment, with a mean of 1.8±1.1 surgeries per patient. Nine (22.5%) patients died. There was a strong correlation between the presence of sepsis on admission and mortality. Conclusion: Fournier’s gangrene patients in this series had a long disease duration and a high prevalence of comorbidities, with a high mortality rate. |
publishDate |
2018 |
dc.date.none.fl_str_mv |
2018-01-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912018000100154 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912018000100154 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/0100-6991e-20181430 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Colégio Brasileiro de Cirurgiões |
publisher.none.fl_str_mv |
Colégio Brasileiro de Cirurgiões |
dc.source.none.fl_str_mv |
Revista do Colégio Brasileiro de Cirurgiões v.45 n.1 2018 reponame:Revista do Colégio Brasileiro de Cirurgiões instname:Colégio Brasileiro de Cirurgiões (CBC) instacron:CBC |
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Colégio Brasileiro de Cirurgiões (CBC) |
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CBC |
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CBC |
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Revista do Colégio Brasileiro de Cirurgiões |
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Revista do Colégio Brasileiro de Cirurgiões |
repository.name.fl_str_mv |
Revista do Colégio Brasileiro de Cirurgiões - Colégio Brasileiro de Cirurgiões (CBC) |
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