35 yrs male came ED with high grade fever. No DM, HTN. HR 110/min, BP 90/50. On physical examination painful, swelling of penis and gangrenous feature. Dx and treatment ?
It's appearing as fourieners gangrene of penis and it's spreading needs urgent surgical debridement or intervention plus antibiotics broad spectrum pt to be shifted in icu close monitoring require it's to done early
#penis with necrotising dermititis First salvage necrosis by broadspectrum antibiotics orally as well as locally Once infection is resolved #penis may repaired by plastic surgeon
There is necrotising fasciitis in involving penis with impending Fournier 's gangrene of scrotum. Take a detailed history regarding impotence . It may be due to ischaemia of the penis and scrotum as part of Leriche's syndrome. So get a colour doppler study of the aorta and its branches . Treat on the lines of Fournier 's gangrene. Parenteral antibiotics inj Piperacillin 4 gms + tazobactum 500mg ×6 hourly for 5 days . Debridement- adequately to be done.. Supportive treatment
? FOURNIER'S GANGRENE .. NEED'S.. BLOOD..URINE..EXAMINATION.. ANTIBIOTICS AS PER REQUIREMENT.. SURGICAL INTERVENTION..
Fourniers gangrene with septic shock Early debridement Start broad spectrum antibiotic with cover of anaerobic. Hydration Control fever Send culture of wound site Escalate antibiotic as culture sensitivity report Close monitoring Routine lab Abg
Fourniers gangrene, necrotising fasciitis, poly microbial Broad spectrum antibiotics covering gram positive, negative and anaerobic microbes. Underlying DM is to be convincingly ruled out DEBRIDEMENT, main modality
Fourniers Gangrere. Check for Serology Requires High Antibiotics, Debridment, Continous monitoring
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Fourniers Gangrene, Need Blood & Urine Examination, Surgical debridment & intervention, required broad spectrum antibiotics, shift pt. into ICU check vitals hrly after surgical intervention.
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