• Registration
  • Login
JETem
  • Home
  • About
    • Aim and Scope
    • Our Team
    • Editorial Board
    • FAQ
  • Issues
    • Current Issue
    • Ahead of Print
    • Past Issues
  • Visual EM
    • Latest Visual EM
    • Search Visual EM
    • Thumbnail Library
  • For Authors
    • Instructions for Authors
    • Submit to JETem
    • Photo Consent
    • Policies
      • Peer Review Policy
      • Copyright Policy
      • Editorial Policy, Ethics and Responsibilities
      • Conflicts of Interest & Informed Consent
      • Open Access Policy
  • For Reviewers
    • Instructions for JETem Reviewers
    • Interested in Being a JETem Reviewer?
  • Topic
    • Abdominal / Gastroenterology
    • Administration
    • Board Review
    • Cardiology / Vascular
    • Dermatology
    • EMS
    • Endocrine
    • ENT
    • Faculty Development
    • Genitourinary
    • Geriatrics
    • Hematology / Oncology
    • Infectious Disease
    • Miscellaneous
    • Neurology
    • Ob / Gyn
    • Ophthalmology
    • Orthopedics
    • Pediatrics
    • Procedures
    • Psychiatry
    • Renal / Electrolytes
    • Respiratory
    • Toxicology
    • Trauma
    • Ultrasound
    • Wellness
    • Wilderness
  • Modality
    • Curricula
    • Innovations
    • Lectures
    • Oral Boards
    • Podcasts
    • Simulation
    • Small Group Learning
    • Team Based Learning
    • Visual EM
  • Contact Us

A Case Report of Fournier’s Gangrene

Huy Alex Duong, BS*, Mark Slader, BS*, Jana Florian, MD* and Jonathan Smart, MD*

*University of California, Irvine, Department of Emergency Medicine, Orange, CA

Correspondence should be addressed to Jonathan Smart, MD at jsmart1@hs.uci.edu

DOI: https://doi.org/10.21980/J8Z356 Issue 7:2
Infectious DiseaseUrologyVisual EM
No ratings yet.
Creative Commons images
Creative Commons images
Creative Commons images
Creative Commons images

ABSTRACT:

Early identification and intervention of Fournier’s gangrene in the Emergency Department (ED) requires a high index of suspicion and is critical in improved patient outcomes. We present a case of a 64-year-old male with two months of progressively worsening buttock and rectal pain found to have extensive black eschar and ecchymosis on exam. In addition, this patient displayed marked leukocytosis, lactic acidosis, and elevated inflammatory markers. A preoperative computed tomography (CT) scan of the abdomen and pelvis revealed multiple perirectal abscesses and subcutaneous fluid and gas in the perineum and scrotum concerning for Fournier’s Gangrene. He was started on broad spectrum antibiotics while in the ED and taken to the operating room for urgent surgical debridement with clinical improvement and was discharged home on day nine. This case report reviews the clinical presentation and interventional modalities, and aims to provide new images to better help visualize a diagnosis of Fournier’s Gangrene.

Topics:

Fournier’s gangrene, necrotizing soft tissue infection, necrotizing fasciitis.

Icon

Fournier’s Gangrene - Manuscript

1 file(s) 2.65 MB
Download
Icon

Fournier’s Gangrene - Images

1 file(s) 6.60 KB
Download
CTIssue 7:2Photograph

Reviews:

No ratings yet.

Please rate this





Creative Commons images

A Case Report of the Rapid Evaluation of a...

07 Jul, 21
Creative Commons images

Point-of-Care Ultrasound to Diagnose Molar...

07 Jul, 21

JETem is an online, open access, peer-reviewed, journal-repository for EM educators. We are PMC Indexed.

Most Viewed

  • Everyday Water-Related Emergencies: A Didactic Course Expanding Wilderness Medicine Education
  • Alcohol Withdrawal with Delirium Tremens
  • Headache Over Heels: CT Negative Subarachnoid Hemorrhage
  • A Homemade, Cost-Effective, Realistic Pelvic Exam Model
  • Acute Pulmonary Edema and NSTEMI

Visit Our Collaborators

Creative Commons Licence
This work is licensed under a Creative Commons Attribution 4.0 International License.

About

Education

Learners should benefit from active learning. JETem accepts submissions of team-based learning, small group learning, simulation, podcasts, lectures, innovations, curricula, question sets, and visualEM.

Scholarship

We believe educators should advance through the scholarship of their educational work. JETem gives educators the opportunity to publish scholarly academic work so that it may be widely distributed, thereby increasing the significance of their results.

Links

  • Home
  • Aim and Scope
  • Current Issue
  • For Reviewers
  • Instructions for Authors
  • Contact Us

Newsletter

Sign up to receive updates from JETem regarding newly published issues and findings.

Copyright © 2016 JETem. All rights reserved.