Resumen

LOPEZ-SAMANO, Virgilio et al. Fournier´s gangrene: Experience of the CMN SXXI Hospital. Arch. Esp. Urol. [online]. 2007, vol.60, n.5, pp.525-530. ISSN 0004-0614.

Objectives: To evaluate and review the Fournier´s gangrene clinical presentation, initial APACHE II score and integral treatment of patients affected in HECMNSXXI. Methods: Retrospective, descriptive and cross-sectional study in 40 patients with Fournier´s gangrene diagnosis, accepted for treatment in HECMNSXXI who gather inclusion criteria, from February 1996 to February 2006. Results: Patients were between 21 and 93 yr old. In total 39 men and 1 woman were recruited. The most common etiologic factor was urethral stricture in 40% of patients. escherichia coli was detected in 42.5 % of the cultures, and represented the most common pathogen. Initial Apache II score was more commonly between 10 and 14 points (35%). 6 patients died (15%) all of them with and Apache II score above 25 points. 55% of patients were affected by diabetes mellitus. All patients with Fournier´s Gangrene received a triple antibiotic schema from admittance day, associated with emergency surgical dèbridement in the whole group. Conclusions: Aggressive and multidisciplinary treatment is mandatory in all the patients affected by Fournier´s gangrene. We recommend utilisation of the APACHE II score as very useful tool to determine the prognosis.

Palabras clave : Fournier´s Gangrene; Necrotizing fascitis; APACHE II score.

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