Fournier’s gangrene in elderly patient : report of a case

Fournier’s gangrene (FG) is rapidly progressing acute gangrenous infection of
the anorectal and urogenital area. FG needs precocious diagnosis and aggressive treatment
with the use of wide spectrum antibioticus and surgical debridement. In our case,
a 91-year-old Japanese female who had rehabilitation after treatment of pneumonia and
her past history was rheumatoid arthritis treated with steroid and chronic heart failure.
Her activities of daily living was bedridden with dementia. Necrotic skin was observed
in urogenital and anorectal area and skin redness enlarged to the hip with high fever. Surgical
debridement was performed. Both Peptostreptococcus Sp. and Fusobacterium Sp.
was cultured from resected necrotic tissue. We used antibioticus, PAPM and PIPC, which
had sensitivity for them. But unfortunately, disseminated intravascular coagulation occurred
after 4th day of operation, and finally she died after 10th day of operation. We
discussed the treatment for FG in patient with complication.

The journal of medical investigation : http://medical.med.tokushima-u.ac.jp/jmi/index.html