Archive
2021, Volume 5
2020, Volume 4
2019, Volume 3
2018, Volume 2
2017, Volume 1




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
Abstract
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.
Keywords
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
Copyright © 2021 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Reference
[1]
Sarkis P, Farran F, Khoury R, Kamel G, Nemr E, Biajini J, et al. Fournier’s gangrene: a review of the recent literature. Prog Urol. févr 2009; 19 (2): 75-84.
[2]
Thwaini A, Khan A, Malik A, Cherian J, Barua J, Shergill I, et al. Fournier’s gangrene and its emergency management. Postgrad Med J. août 2006; 82 (970): 516-9.
[3]
Mallikarjuna MN, Vijayakumar A, Patil VS, Shivswamy BS. Fournier’s Gangrene: Current Practices. ISRN Surg [Internet]. 3 déc 2012 [cité 27 juill 2020]; 2012. Disponible sur: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3518952/.
[4]
Montrief T, Long B, Koyfman A, Auerbach J. Fournier Gangrene: A Review for Emergency Clinicians. J Emerg Med. oct 2019; 57 (4): 488-500.
[5]
Shyam DC, Rapsang AG. Fournier’s gangrene. Surgeon. août 2013; 11 (4): 222-32.
[6]
Aa M, Dc NF, Lm M, Mm G, R B, D K, et al. Management of Fournier’s gangrene: experience of a university hospital of Curitiba. Rev Col Bras Cir. 1 déc 2010; 37 (6): 435-41.
[7]
García Marín A, Turégano Fuentes F, Cuadrado Ayuso M, Andueza Lillo JA, Cano Ballesteros JC, Pérez López M. Predictive factors for mortality in Fournier’ gangrene: a series of 59 cases. Cir Esp. janv 2015; 93 (1): 12-7.
[8]
Zgraj O, Paran S, O’Sullivan M, Quinn F. Neonatal scrotal wall necrotizing fasciitis (Fournier gangrene): a case report. J Med Case Reports. 12 déc 2011; 5: 576.
[9]
Fournier JA. Jean-Alfred Fournier 1832-1914. Gangrène foudroyante de la verge (overwhelming gangrene). Sem Med 1883. Dis Colon Rectum. déc 1988; 31 (12): 984-8.
[10]
Fernandez-Alcaraz DA, Guillén-Lozoya AH, Uribe-Montoya J, Romero-Mata R, Gutierrez-González A. Etiology of Fournier gangrene as a prognostic factor in mortality: Analysis of 121 cases. Actas Urológicas Españolas (English Edition). 1 déc 2019; 43 (10): 557-61.
[11]
Hong KS, Yi HJ, Lee R-A, Kim KH, Chung SS. Prognostic factors and treatment outcomes for patients with Fournier’s gangrene: a retrospective study. International Wound Journal. 2017; 14 (6): 1352-8.
[12]
Yoshino Y, Funahashi K, Okada R, Miura Y, Suzuki T, Koda T, et al. Severe Fournier’s gangrene in a patient with rectal cancer: case report and literature review. World J Surg Oncol. 1 sept 2016; 14 (1): 234.
[13]
Paonam SS, Bag S. Fournier gangrene with extensive necrosis of urethra and bladder mucosa: A rare occurrence in a patient with advanced prostate cancer. Urol Ann. déc 2015; 7 (4): 507-9.
[14]
Bruketa T, Majerovic M, Augustin G. Rectal cancer and Fournier’s gangrene - current knowledge and therapeutic options. World J Gastroenterol. 14 août 2015; 21 (30): 9002-20.
[15]
Laor E, Palmer LS, Tolia BM, Reid RE, Winter HI. Outcome prediction in patients with Fournier’s gangrene. J Urol. juill 1995; 154 (1): 89-92.
[16]
Ruiz-Tovar J, Córdoba L, Devesa JM. Prognostic factors in Fournier gangrene. Asian J Surg. janv 2012; 35 (1): 37-41.
[17]
Diao B, Amath T, Fall B, Fall PA, Diémé MJ, Steevy NN, et al. Bladder cancers in Senegal: epidemiological, clinical and histological features. Prog Urol. juill 2008; 18 (7): 445-8.
[18]
El-Qushayri AE, Khalaf KM, Dahy A, Mahmoud AR, Benmelouka AY, Ghozy S, et al. Fournier’s gangrene mortality: A 17-year systematic review and meta-analysis. Int J Infect Dis. mars 2020; 92: 218-25.
Browse journals by subject