PoCUS for the management of Fournier's gangrene in the emergency department: A case report

Vargas‑Roa,Julian Camilo; Quintero‑Vanegas,Santiago; Zuluaga‑Gómez,Mateo; Gómez‑Ortiz,Daniel; González‑Arroyave,Daniel; Ardila,Carlos Martín

doi:10.3892/br.2023.1649

October-2023 Volume 19 Issue 4

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October-2023 Volume 19 Issue 4

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Case Report

PoCUS for the management of Fournier's gangrene in the emergency department: A case report

Authors:
- Julian Camilo Vargas‑Roa
- Santiago Quintero‑Vanegas
- Mateo Zuluaga‑Gómez
- Daniel Gómez‑Ortiz
- Daniel González‑Arroyave
- Carlos Martín Ardila
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Affiliations: Department of Emergency Medicine, Faculty of Medicine, University of Antioquia, UdeA, Medellín 050010, Colombia, Department of Medicine, San Vicente Fundación Hospital, Rionegro 054047, Colombia, Department of Basic Studies, Faculty of Dentistry, University of Antioquia, UdeA, Medellín 050010, Colombia
Article Number: 67
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Published online on: August 11, 2023

https://doi.org/10.3892/br.2023.1649
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Abstract

Serious soft tissue infections in the spectrum of rapidly progressive necrosis of the fascia and subcutaneous tissue represent a clinical challenge in emergency department clinical practice. Fournier's gangrene (FG) is a presentation thereof that compromises the urogenital area. A low threshold of clinical suspicion complementary to laboratory evaluation and imaging is necessary to act rapidly and perform diagnostic and therapeutic surgical intervention for this condition. The present study reported the case of a 63‑year‑old woman who was admitted with buttock skin changes for 72 h. The diagnostic impression was septic shock due to FG. Point‑of‑care ultrasound (PoCUS) was performed, indicating free fluid in the muscle planes, discontinuity of the muscle fascia and the presence of gas in the subcutaneous cellular tissue. The patient was taken to surgery 2 h after admission. PoCUS was indicated to have an acceptable diagnostic performance that may optimize the care of this type of patient depending on the conditions of the emergency department and the availability of other resources.

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Journals

International Journal of Molecular Medicine

International Journal of Oncology

Molecular Medicine Reports

Oncology Reports

Experimental and Therapeutic Medicine

Oncology Letters

Biomedical Reports

Molecular and Clinical Oncology

World Academy of Sciences Journal

International Journal of Functional Nutrition

International Journal of Epigenetics

Medicine International

PoCUS for the management of Fournier's gangrene in the emergency department: A case report

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