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Colegio de Medicina Interna de México.
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2012, Number 6

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Med Int Mex 2012; 28 (6)

Fournier's gangrene in Crohn's disease: a case report

Cantú LE, Ochoa RGJ, López BG, Ayala GJ, Ulloa OO
Full text How to cite this article

Language: Spanish
References: 8
Page: 608-611
PDF size: 199.16 Kb.


Key words:

Crohn´s disease, Fournier gangrene.

ABSTRACT

We present the case of a 66 years old obese male patient with chronic hypertension, Crohn´s disease and type 2 diabetes with non-compliance to treatment. He presents to the emergency department with a localized swelling in the perianal region of 10 days, which evolved with purulent secretion and fever. Broad-spectrum antibiotics were initiated as well as early debridation of necrotic tissue and support with total parenteral nutrition. The patient was discharged after 64 days of hospital stay with mesalamine 2 gr daily and azathioprine 50 mg daily.


REFERENCES

  1. Kearney DE, Harney S, O’Broin E, McCourt M. An unusual presentation of Fournier’s gangrene. Ir J Med Sci 2011;180(2):573-574.

  2. Yilmazlar T, Ozturk E, Ozguc H, Ercan I, Vuruskan H, Oktay B. Fournier’s gangrene: an analysis of 80 patients and a novel scoring system. Tech Coloproctol 2010;14(3):217-223.

  3. Jiang T, Covington JA, Haile CA, Murphy JB, Rotolo FS, Lake AM. Fournier gangrene associated with Crohn disease. Mayo Clin Proc 2000;75(6):647-649.

  4. Navarro-Vera JA. Gangrena de Fournier. Rev Eviden Invest Clin 2009;3(1):51-57.

  5. Katsanos KH, Ignatiadou E, Sarandi M, Godevenos D, Asproudis I, Fatouros M, et al. Fournier’s gangrene complicating ulcerative pancolitis. J Crohns Colitis 2010;4(2):203-206.

  6. Wilkins T, Jarvis K, Patel J. Diagnosis and management of Crohn’s disease. Am Fam Physician 2011;84(12):1365-1375.

  7. Papaconstantinou I, Yiallourou AI, Dafnios N, Grapsa I, Polymeneas G, Voros D. Successful Treatment of a Severe Case of Fournier’s Gangrene Complicating a Perianal Abscess. Case Report Med 2011;2011:702429.

  8. Sandborn WJ, Fazio VW, Feagan BG, Hanauer SB. AGA technical review on perianal Crohn’s disease. Gastroenterology 2003;125(5):1508-1530.




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Med Int Mex. 2012;28