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Scrotal emphysema with characteristics of Fournier's gangrene in a community setting
Bryson P Cook1, Christopher Verdone1,2, Daniel Ricchiuti1,2,3
1Northeast Ohio Medical University (NEOMED) School of Medicine, 4209 OH-44, Rootstown, OH, 44272, USA.
Abstract:
Fournier's gangrene is a life-threatening type of necrotizing fasciitis associated with a high rate of morbidity and mortality. The patient is a 29-year-old incarcerated male who presented to the ED with left-sided scrotal crepitus extending into the axilla and testicular swelling. The patient endorsed a pimple on his left scrotum accompanied with groin pain. He had a prior history of foreign body removal and self-mutilating behaviors. The patient was taken for surgical exploration out of concern due to a subcutaneous emphysema secondary to a necrotizing soft tissue infection.
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