Neonatal scrotal wall necrotizing fasciitis (Fournier gangrene): a case report

Hdl Handle:
http://hdl.handle.net/10147/204249
Title:
Neonatal scrotal wall necrotizing fasciitis (Fournier gangrene): a case report
Authors:
Zgraj, Oskar; Paran, Sri; O'Sullivan, Maureen; Quinn, Feargal
Citation:
Journal of Medical Case Reports. 2011 Dec 12;5(1):576
Issue Date:
12-Dec-2011
URI:
http://hdl.handle.net/10147/204249
Abstract:
Abstract Introduction Necrotizing fasciitis in neonates is rare and is associated with almost 50% mortality. Although more than 80 cases of neonates (under one month of age) with necrotizing fasciitis have been reported in the literature, only six of them are identified as originating in the scrotum. Case presentation We report the case of a four-week-old, full-term, otherwise-healthy Caucasian baby boy who presented with an ulcerating lesion of his scrotal wall. His scrotum was explored because of a provisional diagnosis of missed torsion of the testis. He was found to have necrotizing fasciitis of the scrotum. We were able to preserve the testis and excise the necrotic tissue, and with intravenous antibiotics there was a successful outcome. Conclusions Fournier gangrene is rarely considered as part of the differential diagnosis in the clinical management of the acute scrotum. However, all doctors who care for small babies must be aware of this serious condition and, if it is suspected, should not hesitate in referring the babies to a specialist pediatric surgical center immediately.
Item Type:
Journal Article

Full metadata record

DC FieldValue Language
dc.contributor.authorZgraj, Oskar-
dc.contributor.authorParan, Sri-
dc.contributor.authorO'Sullivan, Maureen-
dc.contributor.authorQuinn, Feargal-
dc.date.accessioned2012-01-23T16:25:59Z-
dc.date.available2012-01-23T16:25:59Z-
dc.date.issued2011-12-12-
dc.identifierhttp://dx.doi.org/10.1186/1752-1947-5-576-
dc.identifier.citationJournal of Medical Case Reports. 2011 Dec 12;5(1):576-
dc.identifier.urihttp://hdl.handle.net/10147/204249-
dc.description.abstractAbstract Introduction Necrotizing fasciitis in neonates is rare and is associated with almost 50% mortality. Although more than 80 cases of neonates (under one month of age) with necrotizing fasciitis have been reported in the literature, only six of them are identified as originating in the scrotum. Case presentation We report the case of a four-week-old, full-term, otherwise-healthy Caucasian baby boy who presented with an ulcerating lesion of his scrotal wall. His scrotum was explored because of a provisional diagnosis of missed torsion of the testis. He was found to have necrotizing fasciitis of the scrotum. We were able to preserve the testis and excise the necrotic tissue, and with intravenous antibiotics there was a successful outcome. Conclusions Fournier gangrene is rarely considered as part of the differential diagnosis in the clinical management of the acute scrotum. However, all doctors who care for small babies must be aware of this serious condition and, if it is suspected, should not hesitate in referring the babies to a specialist pediatric surgical center immediately.-
dc.titleNeonatal scrotal wall necrotizing fasciitis (Fournier gangrene): a case report-
dc.typeJournal Article-
dc.language.rfc3066en-
dc.rights.holderZgraj et al.; licensee BioMed Central Ltd.-
dc.description.statusPeer Reviewed-
dc.date.updated2012-01-23T16:09:51Z-
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