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Ganggren Fournier

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Pendahuluan

Fournier 1883

Necrotising Fascitis genitalia & perineum

> males

Idiopathic ganggren scrotum, streptoccocal scrotalganggrene, perineal fegmon, spontaneus ulminantgangrene scrotum

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Etiologi

Polyacteria aeroic ! anaeroic sinergis

"eroic E#coli, enterococcus, $lesiella

"naeroic acteriodes,clostridium, streptococcimicroaerphilic

Preciposing actors %, local trauma, localabcessperianal inections, surgery 'herniography,circumcision(

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)linical Presentation

%ramatic presentation

*ecent perianal trauma

Portal o entry

+crotum sollen, erythematous, tender, crepitus,ganggrene

+ystemic

e-er, alteration mental status

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.aoratory

"nemiadecreased unctioning erythrocyte

leucocytosis

+erum creatinine ele-ate

/yponatremia, hypocalcemia

0lood sugar ele-ate increases mortality

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*adiologic

)repitus air plain adomen

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anagement

Immediate deridement

*epeated deridement

"ntimicroial regimen cominations

/yperaric oygen therapy

2rchiectomy ne-er reuired

4rinary di-ersion )olostomy

*econstruction

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2utcome

ortality rates 5 6737 9