Fournier's syndrome in a 10-year-old boy after appendectomy.
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概要
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A 10-year-old boy suspected of being in septic shock associated with perforation of the appendix was transferred to our hospital for emergency laparotomy. After appendectomy, drainage and antibiotic therapy, the clinical signs and symptoms of septic shock showed some improvement, but ventilatory assist and high-dose catecholamine drip infusion were still necessary. As there was a strong suspicion of Fournier's syndrome, especially with signs of increasing redness and edema around the scrotum, which became severe, emergency surgical debridement of the necrotic scrotal tissue was performed under general anesthesia on the second postoperative day. Following this operation, the catecholamine dose was tapered and the patient was weaned from ventilatory assist. The patient was discharged from the ICU to the ward on the 6th postoperative day without any complications. E. coli was isolated from the pus that had played an etiologic role in the septic shock. A high mortality rate has been reported in Fournier's syndrome, and it requirs early diagnosis and surgical intervention. We also emphasize that it should be remembered that peritonitis due to appendicitis can cause Fournier's syndrome even in children.
- 一般社団法人 日本救急医学会の論文
一般社団法人 日本救急医学会 | 論文
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