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Journal of Wound Management and Research > Volume 20(3); 2024 > Article
Journal of Wound Management and Research 2024;20(3): 266-270.
doi: https://doi.org/10.22467/jwmr.2024.03090
Fournier’s Gangrene Arising from Chronic Ischial Pressure Sore in a Paraplegic Patient: A Case Report
Jiwoo Jang , Sunkyu Park , Jong-Ho Kim
Department of Plastic and Reconstructive Surgery, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Korea
Correspondence  Jong-Ho Kim ,Email: kjh6321@naver.com
Received: 21 August 2024; Revised: October 4, 2024   Accepted: 6 October 2024.  Published online: 31 October 2024.
ABSTRACT
Fournier’s gangrene (FG) is a rare but life-threatening bacterial infection affecting the genital and perianal areas, often associated with high morbidity and mortality rates. Although pressure sores, injuries caused by prolonged pressure on the skin, are considered a risk factor for FG, they are rarely the direct cause of the condition. This case report presents a 65-year-old male with paraplegia and a chronic ischial pressure sore who presented with FG. The patient was treated with prompt surgical debridement and antibiotic therapy, followed by wound reconstruction using a local advancement flap. This enabled a successful outcome, with no further wound issues observed for 6 months. Early diagnosis, imaging modalities, prompt surgical intervention, and appropriate antibiotic therapy are essential for the successful management of FG. This case emphasizes the importance of recognizing the possibility of FG arising from pressure sores and highlights the critical role of early surgical intervention.
Key Words: Fournier gangrene; Pressure ulcer; Infections; Case reports
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