Fourniers Gangrene in a Patient Receiving Treatment for Idiopathic Thrombocytopenic Purpura

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概要

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• We report the case of a 68-year-old man who was diagnosed with Fourniers gangrene (FG), which developed during immunosuppresive treatment for idiopathic thrombocytopenic purpura (ITP). The patient was administered steroids for ITP but on the 36th day, he developed FG and septic shock. We initiated antibiotic treatment and drained a periproctal abscess immediately. On day 53, extensive drainage to progressive FG and a splenectomy was performed, following which both FG and thrombocytopenia improved. This is the first case of FG has developing in a ITP patient. It appears that high-dose immunoglobulin therapy and splenectomy should be considered earlier especially for a patient complicated with FG.

著者

• Omoto Eijiro

  Department of Hematology, Yamagata Prefectural Central Hospital, Japan

• Yahagi Tomoyasu

  Department of Cardiology, Yamagata Prefectural Central Hospital, Japan

• Yuda Junichiro

  Department of Hematology, Yamagata Prefectural Central Hospital, Japan

• Honma Riko

  Department of Hematology, Yamagata Prefectural Central Hospital, Japan

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• Fourniers Gangrene in a Patient Receiving Treatment for Idiopathic Thrombocytopenic Purpura

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