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Fournier's Gangrene: A Rare Infectious Entity in an Adolescent with Type II Diabetes
Sara C Sanders1,2, Archana Balamohan1,2, Emily S Smith1,2
1University of Arkansas for Medical Sciences, Little Rock, AR, USA.
Global Pediatric Health
|November 4, 2022
Summary
Fournier's gangrene, a severe necrotizing fasciitis, is rare in children. This case highlights its occurrence in an obese adolescent with diabetes, emphasizing the need for consideration in this demographic.
Area of Science:
- Urology
- Infectious Disease
- Pediatric Surgery
Background:
- Fournier's gangrene is a rare, aggressive necrotizing fasciitis affecting the genital and perineal regions.
- While typically seen in adults, its occurrence in adolescents is increasingly recognized.
Observation:
- A 17-year-old male with obesity, type II diabetes, hypertension, and smoking history presented with systemic symptoms and gluteal pain.
- Physical examination revealed fever, scrotal erythema, and induration extending to the perineum and gluteal region.
Findings:
- Rapidly progressing symptoms and imaging confirmed Fournier's gangrene.
- The patient was treated with broad-spectrum antibiotics, extensive surgical debridement, and a diverting colostomy.
Implications:
- This case underscores the importance of considering Fournier's gangrene in adolescents, particularly those with risk factors like diabetes, obesity, and smoking.
- Early recognition and aggressive management are crucial for favorable outcomes in pediatric cases of Fournier's gangrene.
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