Fournier syndrome: a review of a clinical case

Abstract

Introduction. - Fournier's syndrome is an acute, infrequent, highly lethal infection of the perineum that causes synergistic necrotizing fasciitis of the perirectal, perineal and genital regions; causing thrombosis of the subcutaneous vessels and culminating in necrosis of the overlying skin. Treatment consists of hemodynamically stabilizing the patient, broad-spectrum antibiotics and emergency surgery performing necrotic tissue resection, drainage of purulent secretion, fecal diversion by colostomy and reconstruction of the affected area. Objective. - To seek new alternatives for the clinical and surgical treatment of these cases. Methodology. - Based on a clinical case, 39 classic bibliographies and the most up-to-date on the subject have been reviewed.  Results. - Timely treatment seeks to reduce toxicity at the systemic level, controlling the progression of necrosis to the different layers of tissue through debridement, bypass colostomy, appropriate antibiotic therapy, and hyperbaric therapy. Conclusions. - The treatment as reviewed must be multidisciplinary, in the case reviewed the steps taken were adequate, hence its good evolution.