Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2020 Apr;118(2):e204-e207.
doi: 10.5546/aap.2020.e204.

[Fournier gangrene in a child with steroid-resistant nephrotic syndrome. Report of one case]

[Article in Spanish]
María E Padilla  1 , Sofía Fernández Berisso  2 , Agostina B Vietri  2 , Lucas P Trinitario  2 , Miguel Liern  3 , Mirta S Moreno  4 , Miguel L Podestá  5
Affiliations
Free article
Case Reports

[Fournier gangrene in a child with steroid-resistant nephrotic syndrome. Report of one case]

[Article in Spanish]
María E Padilla et al. Arch Argent Pediatr. 2020 Apr.
Free article

Abstract
in English, Spanish

Fournier gangrene is a necrotizing fasciitis that affects the genital, perineal and perianal regions, of sudden onset and rapidly progressive dissemination. Its diagnosis requires an urgent and interdisciplinary intervention. The association with nephrologic diseases is rare. We present a case of Fournier gangrene in a child with steroidresistant nephrotic syndrome and anasarca with severe scrotal edema. He received a broad-spectrum antibiotic scheme and extensive an immediate surgical debridement of the necrotic lesion was carried out. Subsequently, it was repaired by Plastic Surgery. He presented a favourable clinical response.

La gangrena de Fournier es una fascitis necrotizante que afecta las regiones genital, perineal y perianal, de inicio súbito y diseminación rápidamente progresiva. Su diagnóstico obliga a una urgente intervención interdisciplinaria. La asociación con enfermedades nefrológicas es rara. Se presenta un caso de gangrena de Fournier en un niño con síndrome nefrótico corticorresistente y anasarca con edema escrotal grave. Recibió un esquema antibiótico de amplio espectro y se realizó un desbridamiento quirúrgico extenso e inmediato de la lesión necrótica. Posteriormente, requirió reparación por parte de Cirugía Plástica. Presentó una respuesta clínica favorable a la terapéutica instaurada.

Keywords: Fournier gangrene; fasciitis; nephrotic syndrome.

PubMed Disclaimer

Conflict of interest statement

The authors report no conflicts of interest in this work.

References

    1. Voelzke BB, Hagedorn JC. Presentation and Diagnosis of Fournier Gangrene. Urology. 2018; 114:8-13.
    1. Fournier JA. Gangrène foudroyante de la verge. Sem Méd. 1883; 3(56):345-7.
    1. Sorensen MD, Krieger JN. Fournier’s Gangrene: Epidemiology and Outcomes in the General US Population. Urol Int. 2016; 97(3):249-59.
    1. Barupal SR, Soni ML, Barupal R. Factors Affecting Mortality Following Necrotizing Soft-Tissue Infections: Randomized Prospective Study. J Emerg Trauma Shock. 2019; 12(2):108-16.
    1. Wright AJ, Lall A, Gransden WR, Joyce MR, et al. A case of Fournier gangrene complicating idiopathic nephrotic syndrome of childhood. Pediatr Nephrol. 1999; 13(9):838-9.

Publication types

MeSH terms

LinkOut - more resources