フルニエ壊疽、フルニエー壊疽、Fournier壊疽
- 関
- Fournier's disease、Fournier's gangrene
WordNet
- necrotic tissue; a mortified or gangrenous part or mass (同)sphacelus, slough
PrepTutorEJDIC
- 壊疽(えそ),脱疽(だっそ) / …‘を'壊疽(えそ)にかからせる / 壊疽にかかる
Wikipedia preview
出典(authority):フリー百科事典『ウィキペディア（Wikipedia）』「2012/11/18 19:39:41」(JST)
[Wiki en表示]
| Fournier gangrene |
| Classification and external resources |
| ICD-10 |
N49.8 (ILDS N49.81), N76.8 |
| ICD-9 |
608.83 |
| DiseasesDB |
31119 |
| eMedicine |
emerg/929 med/2814 |
| MeSH |
D018934 |
Fournier gangrene is a type of necrotizing infection or gangrene usually affecting the perineum.
It was first described by Baurienne in 1764 and is named after a French venereologist, Jean Alfred Fournier following five cases he presented in clinical lectures in 1883.
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Contents
- 1 Cause
- 2 Treatment
- 3 Epidemiology
- 4 See also
- 5 References
- 6 External links
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Cause
In the majority of cases Fournier gangrene is a mixed infection caused by both aerobic and anaerobic bacteria.[1] Death can result from Fournier gangrene.[2]
Treatment
Fournier gangrene is a urological emergency requiring intravenous antibiotics and debridement (surgical removal) of necrotic (dead) tissue. In addition to surgery and antibiotics, hyperbaric oxygen therapy (HBO) may be useful and acts to inhibit the growth of and kill the anaerobic bacteria.[3] Despite such measures, the mortality rate overall is 40%, but 78% if sepsis is already present at the time of initial hospital admission.[4]
The most historically prominent sufferers from this condition may have been Herod the Great, his grandson Herod Agrippa, and possibly the Roman emperor Galerius. Puerto Rican abolitionist and pro-independence leader Segundo Ruiz Belvis died from Fournier gangrene in November 1867.
Epidemiology
An estimated 750 cases have been reported in the literature,[5] with most patients in their 60s or 70s with other concurrent illnesses.[6] According to another study in 2000, there have been at least 1726 reported cases in the English literature. [7] However, Fournier gangrene is not a reportable illness, so the number of unreported cases is unclear. A similar infection in women has been occasionally described.[8]
In Turkey it was reported that 46% of patients had diabetes mellitus[4] while other studies have identified approximately a third of patients having either diabetes, alcoholism or malnutrition, and 10% having medical immunosuppression (chemotherapy, steroids, or malignancy).[9]
See also
- Gas gangrene
- List of cutaneous conditions
- Scrotal inflation
References
- ^ Thwaini A, Khan A, Malik A, Cherian J, Barua J, Shergill I, Mammen K (2006). "Fournier's gangrene and its emergency management". Postgrad Med J 82 (970): 516–9. doi:10.1136/pgmj.2005.042069. PMC 2585703. PMID 16891442. //www.ncbi.nlm.nih.gov/pmc/articles/PMC2585703/.
- ^ http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2791735/
- ^ Zamboni WA, Riseman JA, Kucan JO (1990). "Management of Fournier's Gangrene and the role of Hyperbaric Oxygen". J. Hyperbaric Med 5 (3): 177–186. http://archive.rubicon-foundation.org/4431. Retrieved 2008-05-16.
- ^ a b Yanar H, Taviloglu K, Ertekin C, Guloglu R, Zorba U, Cabioglu N, Baspinar I (2006). "Fournier's gangrene: risk factors and strategies for management". World J Surg 30 (9): 1750–4. doi:10.1007/s00268-005-0777-3. PMID 16927060.
- ^ Burch DM, Barreiro TJ, Vanek VW (November 2007). "Fournier's gangrene: be alert for this medical emergency". JAAPA 20 (11): 44–7. PMID 18035764. http://media.haymarketmedia.com/Documents/2/fournier1107_1568.pdf.
- ^ Vaz I (2006). "Fournier gangrene". Trop Doct 36 (4): 203–4. doi:10.1258/004947506778604724. PMID 17034687.
- ^ Eke N. (2000). "Fournier's gangrene: a review of 1726 cases". British Journal of Surgery 87 (6): 718–728. doi:10.1046/j.1365-2168.2000.01497.x.
- ^ Herzog W (1987). "[Fournier gangrene--also in females?]". Zentralbl Chir 112 (9): 564–76. PMID 2956804.
- ^ Tahmaz L, Erdemir F, Kibar Y, Cosar A, Yalcýn O (2006). "Fournier's gangrene: report of thirty-three cases and a review of the literature". Int J Urol 13 (7): 960–7. doi:10.1111/j.1442-2042.2006.01448.x. PMID 16882063.
External links
- Fournier gangrene and Jean Alfred Fournier at Who Named It?
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Male diseases of the pelvis and genitals (N40–N51, 600–608)
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| Internal |
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Testicular
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Orchitis · Hydrocele testis · Testicular cancer · Testicular torsion · Male infertility (Azoospermia, Oligospermia)
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Epididymis
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Epididymitis · Spermatocele · Hematocele
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Prostate
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Prostatitis (Acute prostatitis, Chronic bacterial prostatitis, Chronic prostatitis/chronic pelvic pain syndrome, Asymptomatic inflammatory prostatitis) · Benign prostatic hyperplasia
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| External |
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Penis
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Balanoposthitis/Balanitis (Balanitis plasmacellularis · Pseudoepitheliomatous keratotic and micaceous balanitis) · Phimosis · Priapism · Sexual dysfunction (Erectile dysfunction) · Peyronie's disease · Penile cancer · Penile fracture · Balanitis xerotica obliterans
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| Other |
Hematospermia · Retrograde ejaculation
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noco/cong/tumr, sysi/epon
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Female diseases of the pelvis and genitals (N70–N99, 614–629)
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| Internal |
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Adnexa
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Ovary
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Oophoritis · Ovarian cyst (Follicular cyst of ovary, Corpus luteum cyst, Theca lutein cyst) · Endometriosis of ovary · Ovarian hyperstimulation syndrome · Ovarian torsion · Ovarian apoplexy · Mittelschmerz · Female infertility (Anovulation, Poor ovarian reserve)
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Fallopian tube
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Salpingitis · Hydrosalpinx · Hematosalpinx · Female infertility (Fallopian tube obstruction)
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Uterus
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Endometrium
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Endometritis · Endometriosis · Endometrial polyp · Endometrial hyperplasia · Asherman's syndrome · Dysfunctional uterine bleeding
menstruation: flow (Amenorrhoea, Hypomenorrhea, Oligomenorrhea) · timing (Menorrhagia, Menometrorrhagia, Metrorrhagia) · pain (Dysmenorrhea, PMS)
Female infertility (Habitual abortion)
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Myometrium
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Adenomyosis
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Parametrium
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Parametritis
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Cervix
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Cervicitis · Cervical polyp · Nabothian cyst · Cervical incompetence · Female infertility (Cervical stenosis) · Cervical dysplasia
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General
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Hematometra/Pyometra · Retroverted uterus
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Vagina
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Vaginitis (Bacterial vaginosis, Atrophic vaginitis, Candidal vulvovaginitis) · Leukorrhea/Vaginal discharge · Hematocolpos/Hydrocolpos
Sexual dysfunction (Dyspareunia, Hypoactive sexual desire disorder, Sexual arousal disorder, Vaginismus)
Prolapse (Cystocele, Rectocele, Enterocele, Sigmoidocele, Urethrocele) · Fistulae (Vesicovaginal, Rectovaginal)
Vaginal bleeding
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Other/general
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Pelvic inflammatory disease · Pelvic congestion syndrome
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| External |
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Vulva
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Vulvitis · Bartholin's cyst · Kraurosis vulvae · Vulvodynia
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Clitoral hood or Clitoris
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Clitoral phimosis · Clitorism
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noco/cong/npls, sysi/epon
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proc/asst, drug (G1/G2B/G3CD)
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UpToDate Contents
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English Journal
- Fournier Gangrene and Unexpected Death.
- Bury D, Byard RW.SourceDiscipline of Anatomy and Pathology, The University of Adelaide, Frome Road, Adelaide, SA 5005, Australia. Forensic Science SA, 21 Divett Place, Adelaide, SA 5000, Australia.
- Journal of forensic sciences.J Forensic Sci.2012 Apr 3. doi: 10.1111/j.1556-4029.2012.02139.x. [Epub ahead of print]
- Fournier gangrene represents a rare but progressive perineal infection that may result in rapid death. A 70-year-old man with poorly controlled diabetes mellitus and alcohol abuse is reported who was found unexpectedly dead. He had last been contacted the night before his death. At autopsy, the
- PMID 22471925
- Fournier gangrene: description of 37 cases and analysis of associated health care costs.
- Jiménez-Pacheco A, Arrabal-Polo MÁ, Arias-Santiago S, Arrabal-Martín M, Nogueras-Ocaña M, Zuluaga-Gómez A.SourceServicio de Urología, Hospital Universitario San Cecilio, Granada, Spain.
- Actas dermo-sifiliográficas.Actas Dermosifiliogr.2012 Jan;103(1):29-35. Epub 2012 Mar 24.
- BACKGROUND AND OBJECTIVES: Fournier gangrene is a urological emergency associated with a high mortality. It is a necrotizing fasciitis caused by polymicrobial infection originating in the anorectal or genitourinary area. The aim of this study was to analyze the epidemiological and clinical character
- PMID 22445562
Japanese Journal
- Fournier’s gangrene in elderly patient : report of a case
- Nakatani Hajime,Hamada Shinichi,Okanoue Toyotake,Kawamura Akihiro,Chikai Takashi,Yamamoto Shinya,Inoue Yuichiro,Hanazaki Kazuhiro
- The journal of medical investigation : JMI 58(3-4), 255-258, 2011-08
- … Fournier’s gangrene (FG) is rapidly progressing acute gangrenous infection ofthe anorectal and urogenital area. …
- NAID 120003596491
- 会陰部の膀胱直腸皮膚痩を腹直筋皮弁で再建したフルニエ壊疽の1例
- 柳 雅人,西村 泰司,近藤 幸尋,山崎 恵一,酒井 成貴,石井 直弘,古城 憲,細田 桂
- 日本泌尿器科學會雜誌 102(4), 649-654, 2011-07-20
- 今回我々は基礎疾患がなく尿道結石によるフルニエ壊疽による会陰部の膀胱直腸皮膚瘻に腹直筋皮弁を用いて形成術を行った1症例を経験した.患者は75歳男性,数日前に陰嚢の腫脹を認めたが放置し,意識障害が出現したため来院した.陰茎陰嚢は壊死しており,デブリードマン,抗菌薬の投与等で全身状態が改善したが膀胱直腸皮膚瘻を合併したため,腹直筋皮弁による再建を行った.フルニエ壊疽に膀胱直腸皮膚瘻を合併していた例は筆 …
- NAID 110008688079
Related Links
- Fournier gangrene is a urological emergency requiring intravenous antibiotics and debridement (surgical removal) of necrotic (dead) tissue. In addition to surgery and antibiotics, hyperbaric oxygen therapy (HBOT) may be useful and acts to ...
- 7 Mar 2013 ... Fournier gangrene was first identified in 1883, when the French venereologist Jean Alfred Fournier described a series in which 5 previously healthy young men suffered from a rapidly progressive gangrene of the penis and ...
★リンクテーブル★
[★]
- 英
- Fournier's gangrene、Fournier gangrene
- 関
- フルニエー壊疽、Fournier壊疽、フルニエ病
[★]
フルニエ病、Fournier病
- 関
- Fournier gangrene、Fournier's gangrene
[★]
- 英
- Fournier gangrene
- 関
- Fournier壊疽、フルニエ病、フルニエ壊疽
[★]
- 英
- Fournier gangrene
- 関
- フルニエー壊疽、フルニエ壊疽