NECROTIZING INFECTION OF SCROTUM

被引:20
作者
BISWAS, M
GODEC, C
IRELAND, G
CASS, A
机构
[1] ST PAUL RAMSEY HOSP & MED CTR,DEPT UROL,ST PAUL,MN 55101
[2] HENNEPIN CTY GEN HOSP,DEPT SURG,MINNEAPOLIS,MN 55415
关键词
D O I
10.1016/0090-4295(79)90527-2
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Necrotizing infection of the scrotum (Fournier gangrene) rapidly spreads to adjacent skin with fever and toxemia and is life-threatening. Subcutaneous gas and a foul-smelling wet discharge from the skin are usually present. The infection is not cured with antibiotic therapy alone and requires immediate extensive debridement of all necrotic tissue. Repeated debridement each several days under general anesthesia is necessary until healthy granulation is present in the wound. Reconstruction with skin flaps or skin grafts shortens hospitalization and prevents the dense scar tissue and immobility of the testes that can occur with spontaneous epithelization. © 1979.
引用
收藏
页码:576 / 580
页数:5
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