Intérêt de l’index de sévérité de la gangrène de Fournier dans la prédiction des facteurs pronostiques de la mortalité

ConclusionL’ISGF calculé à partir des aberrations physiques et métaboliques constitue un outil simple, fiable et valide dans l’évaluation de la gravité initiale de la maladie, et avec une valeur seuil de 9, il permet de prédire la mortalité avec une sensibilité et spécificité élevées.AbstractIntroductionFournier's gangrene severity index (FGSI) is a numeric score calculated from physiological parameters. It is a tool to predict the severity of this disease. The aim of our study is to identify the prognostic factors of mortality risk and to validate the FGSI.Patients and methodsWe reviewed retrospectively medical records of patients admitted for Fournier's gangrene between 2002 and 2012. Statistical analysis were performed by SPSS 10 for Windows software, a significance level was selected for a p
Source: African Journal of Urology - Category: Urology & Nephrology Source Type: research

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Publication date: November 2019Source: The Journal of Foot and Ankle Surgery, Volume 58, Issue 6Author(s): Peter Kaiser, Thomas Vincent Häller, Ilker Uçkay, Dominik Kaiser, Martin Berli, Thomas Böni, Felix WaibelAbstractTotal transmetatarsal amputation (TMA) can be an option for foot salvage in gangrene, sepsis, or infected necrosis. However, the literature concerning predictive outcome factors and bacterial sampling is scarce. To identify potential associations between revision surgery and underlying bacteria or other preoperative selection criteria, we reviewed all patients with TMA who were treated at o...
Source: The Journal of Foot and Ankle Surgery - Category: Orthopaedics Source Type: research
ConclusionIn DT1 patients, renal transplantation is the best treatment for ESRD despite the use of corticosteroids and anticalcineurins. However, prior explorations of good cardiac function and adequate vascular compliance are essential to reduce the risk of CV.
Source: Archives of Cardiovascular Diseases Supplements - Category: Cardiology Source Type: research
CONCLUSION: Neglects in nutritional care of patients can have severe implications including development of medical complications, resulting in increased length of hospital stay, augmenting the disease stress of the patient and family, and finally the preventable drainage of several human and monetary resources. Therefore, recognition of nutritional intervention as an important part of in-hospital health care may have social as well as economic impacts. PMID: 30967150 [PubMed - in process]
Source: Journal of Health, Population, and Nutrition - Category: International Medicine & Public Health Authors: Tags: J Health Popul Nutr Source Type: research
Authors: Scheen AJ Abstract INTRODUCTION: Sodium-glucose cotransporter type 2 inhibitors (SGLT2is) are recommended after metformin for a large spectrum of patients with type 2 diabetes, because of a favourable benefit/risk profile despite a variety of adverse events. Areas covered: This narrative review discusses the safety profile of SGLT2is: initial concerns (cardiovascular safety, acute renal failure, hypoglycemia, urinary and genital infections, volume depletion, bladder cancer), further concerns (euglycemic ketoacidosis, bone fractures) and more recent concerns (lower limb amputation, Fournier's gangrene). Exp...
Source: Expert Opinion on Drug Safety - Category: Drugs & Pharmacology Tags: Expert Opin Drug Saf Source Type: research
We report here a case of penile gangrene due to penile calciphylaxis in a patient with diabetes mellitus and chronic renal failure. Initially the patient demonstrated dry gangrene of the glans penis, which turned to wet after partial amputation. The main cause of the gangrene was considered to be circulatory insufficiency induced by severe arteriosclerosis. Despite high mortality rate associated with ischaemic penile gangrene aggressive management is recommended for those who are not terminal.
Source: Urology Case Reports - Category: Urology & Nephrology Source Type: research
ConclusionL’ISGF calculé à partir des aberrations physiques et métaboliques constitue un outil simple, fiable et valide dans l’évaluation de la gravité initiale de la maladie, et avec une valeur seuil de 9, il permet de prédire la mortalité avec une sensibilité et spécificité élevées.AbstractIntroductionFournier's gangrene severity index (FGSI) is a numeric score calculated from physiological parameters. It is a tool to predict the severity of this disease. The aim of our study is to identify the prognostic factors of mortality ...
Source: African Journal of Urology - Category: Urology & Nephrology Source Type: research
Publication date: November 2017 Source:European Urology Supplements, Volume 16, Issue 11 Author(s): V.R. Dunev, A. Vanov, N.H. Kolev, B. Stoykov, P. Genov, J.A. Atanasov
Source: European Urology Supplements - Category: Urology & Nephrology Source Type: research
Discussion Liver gas gangrene is rare and has a high mortality rate. This case seems to have arisen from an immunosuppressive state after major surgery with biliary reconstruction for bile duct cancer and subsequent gastrointestinal bleeding, leading to gas gangrene of the liver.
Source: International Journal of Surgery Case Reports - Category: Surgery Source Type: research
Authors: Galván Fernández J, Jiménez Cuenca MI, Molpeceres Martínez I, Álvarez-Quiñones ML Abstract A 61 year-old man with a history of hypertension, type2 diabetes, chronic renal failure, tuberculosis and peripheral arterial disease presented with gangrene in the right leg. A right supracondylar amputation was performed, despite which the patient continued with a high fever, oliguria and hypotension (90/50). Laboratory work-up showed neutrophilic leukocytosis and metabolic acidosis. CT revealed pneumoperitoneum, emphysema and thickening of the gastric wall. Changing the CT...
Source: Revista Espanola de Enfermedades Digestivas - Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research
We report an unusual case of successful management via conservative surgery for penile gangrene in a patient with calciphylaxis and a long history of end-stage renal disease secondary to diabetic nephropathy.
Source: The Journal of Emergency Medicine - Category: Emergency Medicine Authors: Tags: Visual Diagnosis in Emergency Medicine Source Type: research
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