Fournier gangrene in an infant, complicated with severe sepsis and liver dysfunction: A case report

查看全文 作　　者：Ilirjana [1]Bakalli;Saimir [2]Heta;Ermira [1]Kola;Ermela [1]Celaj 机构地区：[1]Department of Pediatrics,UHC“Mother Theresa”,Tirana 1024,Albania;[2]Department of Pediatric Surgery,UHC“Mother Theresa”,Tirana 1024,Albania 出　　处：《World Journal of Clinical Cases》索引2023年第11卷第30期,共5页 摘　　要：BACKGROUND Fournier gangrene is a rare,life-threatening infection characterized by necrotizing fasciitis in the perineal,genital and/or lower abdominal regions.Despite its rarity,the unfavorable prognosis associated with this disease is dependent on the timing of medical care.CASE SUMMARY A 3-month-old boy was admitted to our pediatric intensive care unit in critical condition after a 5-day history of fever and scrotal erythema with breaching skin lesions and swelling.Despite ambulatory antibiotic treatment,the child’s clinical condition deteriorated.At the time of admission,the child had necrotizing scrotal fasciitis that had spread to the abdomen.Following reanimation,the surgeon decided on an immediate intervention to rule out testicular torsion and to debride the affected area.Despite optimal antibiotic and supportive therapy,the patient developed severe sepsis with liver dysfunction,making treatment more challenging.CONCLUSION Recognizing Fournier gangrene,prompt referral to pediatric surgery,and appropriate antibiotic coverage are critical for avoiding sepsis and multiorgan dysfunction. 关 键 词：Fournier gangrene INFANT Early diagnosis SEPSIS Liver dysfunction Case report