KMID : 0356720100260010029
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Journal of the Korean Society of Coloproctology 2010 Volume.26 No. 1 p.29 ~ p.33
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The Prognostic Factors and Severity Index in Fournier¡¯s Gangrene
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Kim Kwang-Min
Seong Seung-Hoon Kim Ik-Yong Ryu Hoon Won Dal-Yeon
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Abstract
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Purpose: Fournier¡¯s disease is polymicrobial necrotizing fasciitis of the perineal, perianal, or genital areas. The objective of this study was to investigate patients with Fournier¡¯s gangrene and to determine risk factors that affect mortality.
Methods: Fournier¡¯s disease is polymicrobial necrotizing fasciitis of the perineal, perianal, or genital areas. The objective of this study was to investigate patients with Fournier¡¯s gangrene and to determine risk factors that affect mortality.
Results: The mean age of patients was 52.8¡¾14.4 yr, and the male-to-female ratio was 25:2. Among the predisposing factors, diabetes mellitus was the most common (n=8, 29.6%). The most common infection source was anorectal (n=16, 59.3%). Sepsis on admission was detected in 16 cases (59.3%). Four patients died during treatment, for an overall mortality of 14.8%. A logistic regression test showed a Fournier¡¯s gangrene severity index greater than 9 and sepsis on admission to be prognostic factors.
Conclusion: The mortality rate was higher in patients with sepsis on admission and with a Fournier¡¯s gangrene severity index greater than nine.
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KEYWORD
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Fournier¡¯s gangrene, Fournier¡¯s gangrene severity index, Prognostic factors
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