SUCCESSFUL TREATMENT OF FOURNIER GANGRENE BY MULTIDISCIPLINARY CO-OPERATION

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  • OIKE TSUBASA
    DEPARTMENT OF EMERGENCY AND DISASTER MEDICINE, JUNTENDO UNIVERSITY FACULTY OF MEDICINE
  • YANAGAWA YOUICHI
    DEPARTMENT OF EMERGENCY AND DISASTER MEDICINE, JUNTENDO UNIVERSITY FACULTY OF MEDICINE
  • JOH TAKAYUKI
    DEPARTMENT OF EMERGENCY AND DISASTER MEDICINE, JUNTENDO UNIVERSITY FACULTY OF MEDICINE
  • TAKEMOTO MASAAKI
    DEPARTMENT OF EMERGENCY AND DISASTER MEDICINE, JUNTENDO UNIVERSITY FACULTY OF MEDICINE
  • AIHARA KOICHIRO
    DEPARTMENT OF EMERGENCY AND DISASTER MEDICINE, JUNTENDO UNIVERSITY FACULTY OF MEDICINE
  • NATORI YUHEI
    DEPARTMENT OF PLASTIC AND RECONSTRUCTIVE SURGERY, JUNTENDO UNIVERSITY FACULTY OF MEDICINE
  • MIZUNO HIROSHI
    DEPARTMENT OF PLASTIC AND RECONSTRUCTIVE SURGERY, JUNTENDO UNIVERSITY FACULTY OF MEDICINE
  • TAKAHASHI MAKOTO
    DEPARTMENT OF COLOPROCTOLOGICAL SURGERY, JUNTENDO UNIVERSITY FACULTY OF MEDICINE
  • SAKAMOTO KAZUHIRO
    DEPARTMENT OF COLOPROCTOLOGICAL SURGERY, JUNTENDO UNIVERSITY FACULTY OF MEDICINE
  • WATANABE SHIN
    DEPARTMENT OF EMERGENCY AND DISASTER MEDICINE, JUNTENDO UNIVERSITY FACULTY OF MEDICINE
  • NAGAYAMA MASATAKA
    DEPARTMENT OF EMERGENCY AND DISASTER MEDICINE, JUNTENDO UNIVERSITY FACULTY OF MEDICINE
  • TAKAYAMA TOSHIO
    DEPARTMENT OF EMERGENCY AND DISASTER MEDICINE, JUNTENDO UNIVERSITY FACULTY OF MEDICINE
  • YAMADA ATSUSHI
    DEPARTMENT OF EMERGENCY AND DISASTER MEDICINE, JUNTENDO UNIVERSITY FACULTY OF MEDICINE
  • IBA TOSHIAKI
    DEPARTMENT OF EMERGENCY AND DISASTER MEDICINE, JUNTENDO UNIVERSITY FACULTY OF MEDICINE
  • TANAKA HIROSHI
    DEPARTMENT OF EMERGENCY AND DISASTER MEDICINE, JUNTENDO UNIVERSITY FACULTY OF MEDICINE

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Other Title
  • 診療科連携により救命しえたフルニエ壊疽の1例
  • 症例報告 診療科連携により救命しえたフルニエ壊疽の1例
  • ショウレイ ホウコク シンリョウカ レンケイ ニ ヨリ キュウメイ シエタ フルニエ エソ ノ 1レイ

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A64-year-old male presented with a painful abscess in the right buttock and fever. He underwent drainage of the abscess and received antibiotics. He had a past history of liver cirrhosis. He demonstrated complications of sepsis, disseminated intravascular coagulopathy, and renal failure, and was thus transferred to our hospital, where he was diagnosed with Fournier gangrene. He underwent resection of the necrotic tissue and colostomy performed by surgeons from multiple departments. Intensive care resulted in improvement of his condition. MRI demonstrated a small residual abscess in his pelvis, so he was given antibiotics for two months until the abscess disappeared. This is a case of successful treatment of Fournier gangrene, which is a severe soft tissue infection, by multidisciplinary co-operation.

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