Man with scrotal pain and swelling
F I G U R E 2 Point-of-care-ultrasound (POCUS) image of perineum, with heterogeneous area of phlegmon and early abscess formation.concerning for abscess formation without subcutaneous emphysema (SE) (Figure 2, Video S2).Computed tomography (CT) imaging corroborated POCUS findings.Given failed outpatient antibiotics, markedly elevated inflammatory markers, and POCUS findings, necrotizing soft tissue infection was suspected.The patient received intravenous broad-spectrum antibiotics and underwent surgical debridement. DISCUSSIONFournier gangrene (FG) is a necrotizing infection of the perineum that can rapidly extend to surrounding structures. [1][2]2][3] Mortality with
Authors
- Nicholas Ashenburg (ORCID: https://orcid.org/0000-0002-9996-6248)
- Timothy J. Batchelor (ORCID: https://orcid.org/0000-0002-8594-3547)
- Christopher Allen (ORCID: https://orcid.org/0000-0002-2838-8444)
- C. Hill
- Christina Y Liao
Institutions
- Palo Alto University (US)
- Stanford University (US)
Publication Details
- Journal
- Journal of the American College of Emergency Physicians Open
- Published
- 2024-09-05
- DOI
- https://doi.org/10.1002/emp2.13289
- Primary Topic
- Streptococcal Infections and Treatments
- Type
- article
- Field-Weighted Citation Impact
- 0.00