Experience and management of two cases of fournier’s gangrene in pediatric patients at the Instituto Nacional de Salud del Niño – San Borja, Lima, Peru

Keywords: Fournier's Gangrene, Necrotising Fasciitis, Children, Scrotum, Peru

Abstract

Fournier’s gangrene is a condition mainly found in adults and it very rarely occurs in children. Multiple predisposing factors have been identified for children, including circumcision, diaper dermatitis, the occurrence of abscesses, anorectal trauma, and immune deficiency. Characteristic signs and symptoms include rapidly progressing edema and hyperemia in the perineal region, accompanied by intense pain and fever. Once Fournier’s gangrene is diagnosed, therapy must be immediately instituted, using wide spectrum intravenous antibiotics and early surgical debridement of devitalized tissues. We present a case report including clinical and epidemiological characteristics of two pediatric patients with Fournier’s gangrene who received medical and surgical therapy at the Instituto Nacional de Salud del Niño in San Borja, Lima, Peru.

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Author Biographies

Juan Miranda del Carpio, Instituto Nacional de Salud del Niño- San Borja, Lima. Perú
Resident Physician of Plastic Surgery.
Atenas Bustamante Lozada, Instituto Nacional de Salud del Niño- San Borja, Lima. Perú
Resident Physician of Plastic Surgery.
Normy Wieslawa De Pawlikowski Amiel, Instituto Nacional de Salud del Niño- San Borja, Lima. Perú
Plastic and reconstructive surgeon
Verónica Caller Farfán, Instituto Nacional de Salud del Niño- San Borja, Lima. Perú.
Plastic and reconstructive surgeon
Juan Manuel Medina Castillo, Instituto Nacional de Salud del Niño- San Borja, Lima. Perú.
Plastic and reconstructive surgeon
Published
2022-02-04
How to Cite
1.
Iglesias Guzmán MH, Miranda del Carpio JV, Bustamante Lozada A, De Pawlikowski Amiel NW, Caller Farfán V, Medina Castillo JM. Experience and management of two cases of fournier’s gangrene in pediatric patients at the Instituto Nacional de Salud del Niño – San Borja, Lima, Peru. Acta Med Peru [Internet]. 2022Feb.4 [cited 2022Dec.9];38(4). Available from: http://www.amp.cmp.org.pe/index.php/AMP/article/view/2134
Section
CASE REPORTS