Necrotizing cutaneous infections and Fournier's gangrene

被引：6

作者：

Lasocki, S. ^{[1
]}

Geffroy, A. ^{[1
]}

Montravers, P. ^{[1
]}

机构：

[1] Univ Paris 07, CHU Bichat Claude Bernard, APHP, Dept Anesthesie & Reanimat Chirurg, F-75018 Paris, France

来源：

ANNALES FRANCAISES D ANESTHESIE ET DE REANIMATION | 2006年 / 25卷 / 09期

关键词：

Fournier's gangrene; perineal infection; mixed bacterial infection; anaerobes;

D O I：

10.1016/j.annfar.2006.03.023

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

Fournier's gangrene is a necrotizing infection of skin and soft tissue of the perineum. Several sources of contamination have been described: cutaneous, urological or anorectal. Anatomy of the perineum helps in the prediction of the extension of the infection. The bacterial flora (usually mixed aero-anaerobic flora) depends on the source of infection: Gram-positive cocci (skin source) combined with Gram-negative bacilli and anaerobes (urological or anorectal source). CT scan and echography are useful tools for the diagnosis without delaying surgery. In the diagnostic procedure and the management, proctological examination, retrograde uretrography, bowel and urine derivation should be discussed. (c) 2006 Elsevier SAS. Tons droits reserves.

引用

页码：971 / 974

页数：4