Profile of patients with Fournier’s gangrene and their clinical evolution

Bibliographic Details
Main Author: DOS-SANTOS,DJONEY RAFAEL
Publication Date: 2018
Other Authors: ROMAN,ULISSES LUIZ TASCA, WESTPHALEN,ANDRÉ PEREIRA, LOVISON,KELI, SPENCER NETO,FERNANDO ANTONIO C.
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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spelling 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
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dc.language.iso.fl_str_mv eng
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dc.relation.none.fl_str_mv 10.1590/0100-6991e-20181430
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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)
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