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Volume 5, Issue 1, June 2021, Page: 1-3
Fournier’s Gangrene in a Patient with a Bladder Cancer: A Lethal Association
Fasnewinde Aristide Kabore, Yalgado Ouedraogo Teaching Hospital, Ouagadougou, Burkina Faso
Moussa Kabore, Yalgado Ouedraogo Teaching Hospital, Ouagadougou, Burkina Faso
Boukary Kabre, Yalgado Ouedraogo Teaching Hospital, Ouagadougou, Burkina Faso
Abdoul Aziz Ouedraogo, Yalgado Ouedraogo Teaching Hospital, Ouagadougou, Burkina Faso
Received: Nov. 14, 2020;       Accepted: Dec. 14, 2020;       Published: Jan. 4, 2021
DOI: 10.11648/j.ijcu.20210501.11      View  25      Downloads  18
Fournier’s gangrene is a rare and life-threatening condition. It mainly affects men. Progress in resuscitation has reduced its mortality rate but it remains very high. We report a case of Fournier’s gangrene in a 30-year-old male patient admitted to our emergency room for 24 hours history of a bilateral painful scrotal swelling with fever. In his prior history the patient was followed for squamous cell carcinoma of the bladder with ureteral meatus invasion and renal failure. On physical examination we noted a severe sepsis: temperature was 39.2° Celsius, pulse rate was 115 beats per minute, respiratory rate was 26 breaths per minute, blood pressure was 80/60 mmHg. We noted a bilateral and painful scrotal swelling with snow crepitation in burses and edema of the penile. The Fournier’s Gangrene Severity Index was 17. After hydroelectrolytic resuscitation, a surgical debridement was performed. An antibiotherapy with third-generation cephalosporin and imidazole was administered. The patient died of septic shock 24 hours after the debridement. Through this clinical case we showed that Fournier's gangrene has a severe prognosis. FGSI is an interesting predictive score in the evaluation of the patient's vital prognosis. The association between FG and bladder tumor worsens the patient's vital prognosis. Bladder cancer and Fournier’s gangrene realize a lethal association.
Fournier’s Gangrene, Lethal, Bladder Cancer
To cite this article
Fasnewinde Aristide Kabore, Moussa Kabore, Boukary Kabre, Abdoul Aziz Ouedraogo, Fournier’s Gangrene in a Patient with a Bladder Cancer: A Lethal Association, International Journal of Clinical Urology. Vol. 5, No. 1, 2021, pp. 1-3. doi: 10.11648/j.ijcu.20210501.11
Copyright © 2021 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License ( which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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