Fournier gangrene history and symptoms
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Steven C. Campbell, M.D., Ph.D.; Associate Editor(s)-in-Chief: Yamuna Kondapally, M.B.B.S[1]; Jesus Rosario Hernandez, M.D. [2]
Overview
Specific areas of focus when obtaining a history from the patient include[1][2][3] trauma, alcohol misuse, immunosupression, chemotherapy, chronic corticosteroid use, and HIV infections. The symptoms of Fournier gangrene include:[4][5] Pain and swelling in the scrotum, erythema, discoloration of involved skin, Purulence or wound discharge, pallor, and fever >38°C.
History
A detailed and thorough history from the patient is necessary. Specific areas of focus when obtaining a history from the patient include:[1][2][3]
- Trauma
- Alcohol misuse
- Immunosupression
- Chemotherapy
- Chronic corticosteroid use
- HIV
- Leukemia
- Liver disease
- Debilitating illness
- Malignancy
- Cytotoxic drugs
- Abdominal disease
- Surgery
- Epididymitis or orchitis
Symptoms
The symptoms of Fournier gangrene include:[4][5]
- Pain and swelling in the scrotum
- Erythema
- Discoloration of involved skin
- Purulence or wound discharge
- Pallor
- Fever >38°C
- Crepitation
- Prostration
- Fluctuance
- Fetid odour
References
- ↑ 1.0 1.1 Clayton MD, Fowler JE, Sharifi R, Pearl RK (1990). "Causes, presentation and survival of fifty-seven patients with necrotizing fasciitis of the male genitalia". Surg Gynecol Obstet. 170 (1): 49–55. PMID 2294630.
- ↑ 2.0 2.1 Morpurgo E, Galandiuk S (2002). "Fournier's gangrene". Surg Clin North Am. 82 (6): 1213–24. PMID 12516849.
- ↑ 3.0 3.1 Vick R, Carson CC (1999). "Fournier's disease". Urol Clin North Am. 26 (4): 841–9. PMID 10584624.
- ↑ 4.0 4.1 Mallikarjuna MN, Vijayakumar A, Patil VS, Shivswamy BS (2012). "Fournier's Gangrene: Current Practices". ISRN Surg. 2012: 942437. doi:10.5402/2012/942437. PMC 3518952. PMID 23251819.
- ↑ 5.0 5.1 Yeniyol CO, Suelozgen T, Arslan M, Ayder AR (2004). "Fournier's gangrene: experience with 25 patients and use of Fournier's gangrene severity index score". Urology. 64 (2): 218–22. doi:10.1016/j.urology.2004.03.049. PMID 15302463.