Padilla ME, Fernández Berisso S, Vietri AB, Trinitario LP, Liern M, Moreno MS, Podestá ML. [Fournier gangrene in a child with steroid-resistant nephrotic syndrome. Report of one case].
ARCH ARGENT PEDIATR 2020;
118:e204-e207. [PMID:
32199066 DOI:
10.5546/aap.2020.e204]
[Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/21/2019] [Accepted: 09/16/2019] [Indexed: 11/12/2022]
Abstract
Fournier gangrene is a necrotizing fasciitis that affects the genital, perineal and perianal regions, of sudden onset and rapidly progressive dissemination. Its diagnosis requires an urgent and interdisciplinary intervention. The association with nephrologic diseases is rare. We present a case of Fournier gangrene in a child with steroidresistant nephrotic syndrome and anasarca with severe scrotal edema. He received a broad-spectrum antibiotic scheme and extensive an immediate surgical debridement of the necrotic lesion was carried out. Subsequently, it was repaired by Plastic Surgery. He presented a favourable clinical response.
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