Disease Information for Fournier/Necrotizing fasciitis/genitals

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Clinical Manifestations
Signs & Symptoms
Groin Pain
Pain in crotch/perineum
Low Blood Pressure
Signs of Poor Perfusion
Tachycardia/Fast heart rate
Bruising/Ecchymosis
Ecchymosis, massive, flank
Perineal/Crotch/Saddle area involvement/sign
Perineal/groin lesions
Eschar/ecchymosis scrotum/perineum/sign
Perineal pain/male
Scrotal edema/swelling
Scrotal lesions/ulcerative
Scrotal pain
Swelling of scrotum
Testicular pain
Unilateral Tender/Painful Testicle
Excessive/easy bruising tendency
Body wall ecchymosis/sign
Pain on defecation
Inguinal/groin adenopathy
Thigh/Leg Swelling Unilateral Severe
Perineal pain female
Perineal Mass
Suprapubic pain
Acutely ill patient/signs
Collapse/Prostration
Constitutional symptoms
Large local swollen/red/painful area sign
Perineal swelling/edema
Toxic and Febrile Septic
Disease Progression
Course/Acute
Course/Acute only
Course/Catastrophic presentation/onset
Course/Difficult Diagnosis
Course/Lethal
Course/Potentially lethal/untreated
Course/Slow curve/fast break over 24 hrs
Lethal Potential
Demographics & Risk Factors
Established Disease Population
Patient/Non-compliant
Patient/Poor personal hygiene
Patient/Diabetes mellitus
Population Group
Man
Sex & Age Groups
Population/Adult Aged Only
Population/Adult/all
Population/Male
Population/Male-only/limit
Population/Man patient
Laboratory Tests
Microbiology & Serology Findings
Microlab/Bacteroides isolation/culture
Microlab/Eschericia coli isolation/culture
Abnormal Lab Findings - Increased
Aldolase, serum (Lab)
Diagnostic Test Results
X-RAY
Xray/Air/gas in soft tissues
Associated Diseases & Rule outs
Rule Outs
Cellulitis
Decubitus ulcer/Bedsores
Tinea cruris
Associated Disease & Complications
Abscess, perianal/pararectal
Anaerobic bacterial infection
Bacteremia Septicemia
Constipation
Death Outcome
Fourniers/Necrotizing fasciitis/genitalia
Hypotension
Infectious myopathy
Myoglobinuria
Myopathy
Obstipation
Perineal fistula
Septic shock Pyogenic Endotoxic
Septicemic shock
Shock
Disease Synergy - Causes
Synergy/Poor personal hygiene
Disease Mechanism & Classification
Specific Agent
AGENT/Anaerobic bacteria (ex)
Class
CLASS/Dermatologic/Subcutaneous (category)
CLASS/Genital, male (category)
CLASS/Scrotum involvement/disorder (ex)
CLASS/Fascia involvement/disorder (ex)
Pathophysiology
Pathophysiology/Anaerobic infection setup
Pathophysiology/Polymicrobial infection process
Pathophysiology/Gangrene/skin/subcutaneous tissue
Pathophysiology/Subcutaneous manifestation/involvement
Process
PROCESS/Degenerative/necrosis disorder (category)
PROCESS/Necrosis (ex)
Synonyms
Synonym
Entire genital organ, Entire genital organ (body structure), Fasciitides Necrotizing, Fasciitis necrotising, FASCIITIS NECROTIZING, Fascitides Necrotizing, Fascitis Necrotizing, GANGRENE HEMOLYTIC STREPTOCOCCUS, Genital organ, Genital organ (body structure), Genital Organs, Genitalia, genitals, Necrotising cellulitis, Necrotising erysipelas, Necrotising fasciitis, Necrotising myositis, Necrotizing cellulitis, Necrotizing erysipelas, Necrotizing Fasciitides, Necrotizing fasciitis, Necrotizing fasciitis (disorder), Necrotizing Fascitides, Necrotizing Fascitis, Necrotizing myositis, Organ Genital, Organs Genital, Streptococcal gangrene, Synonym/Fournier's disease, Synonym/Meleney's gangrene/fasciitis
Treatment
Drug Therapy - Indication
RX/Amoxicillin-clavulanic acid (Augmentin)
RX/Ampicillin/sublactam (Unasyn)
RX/Antibiotic
RX/Hyperbaric oxygen therapy
SX/Debridement
Surgical Procedures or Treatments
SX/Surgery
SX/Surgery Incision/Drainage
SX/Surgical emergency
SX/Surgical resection/removal/biopsy
Other Treatments
TX/Medical/surgical emergency
Definition

Fournier Gangrene; Fournier Disease; Fournier Gangrene;

Necrotizing Fasciitis of the Perineum and Genitalia;

Synergistic Necrotizing Fasciitis of the Perineum and Genitalia; Fournier gangrene is a serious, rapidly progressive infective gangrene involving the scrotum, penis, and/or perineum caused by a broad array of microorganisms, acting in mutual support of one another (synergistically) and usually resulting from local trauma, operative procedures, or urinary tract disease; more frequently among male adults, has been identified also among women and children; Treatment usually consists of the surgical debridement of extensive areas of dead tissue (necrosis, necrotic) and the administration of broad-spectrum intravenous antibiotics Surgical reconstruction may follow where necessary---------- [NORD 2005]-------------

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External Links Related to Fournier/Necrotizing fasciitis/genitals
Google
Wikipedia
Merck
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PubMed (National Library of Medicine)
NGC (National Guideline Clearinghouse)
Medscape (eMedicine)
Harrison's Online (accessmedicine)
NEJM (The New England Journal of Medicine)
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