PMID- 1340378
OWN - NLM
STAT- MEDLINE
DCOM- 19931206
LR  - 20160815
IS  - 0104-4230 (Print)
IS  - 0104-4230 (Linking)
VI  - 38
IP  - 4
DP  - 1992 Oct-Dec
TI  - [Fournier syndrome: evaluation and initial treatment].
PG  - 209-13
AB  - The records of 48 patients with Fournier's syndrome (FS) treated at the Emergency 
      Surgical Service of the Hospital das Clinicas of the University of Sao Paulo 
      Medical School in the period 1982-1991 were reviewed. Clinical and laboratory 
      data at admission were analysed. The following factors were statistically 
      significant when associated with bad prognosis: elevated serum creatinine, 
      hypoxemia, metabolic alkalosis or acidosis, diabetes and age over 50 years. Based 
      on these five criteria, the patients were divided into two groups: Group I, mild 
      FS (32 cases) and Group II, severe FS (16 patients). This classification permits 
      a better planning of therapy. In cases classified as severe, treatment should 
      include wide debridement, with resection of all necrotic tissues, scheduled 
      reoperations for further debridements, transverse colostomy, wide spectrum 
      antibiotic therapy and total parenteral nutrition. In the mild cases, the 
      patients may be treated with debridement and antibiotics only.
FAU - Steinman, E
AU  - Steinman E
AD  - Servico de Cirurgia de Emergencia do Hospital das Clinicas da Faculdade de 
      Medicina da Universidade de Sao Paulo.
FAU - Utiyama, E M
AU  - Utiyama EM
FAU - Maximiniano, L F
AU  - Maximiniano LF
FAU - Belivacqua, R G
AU  - Belivacqua RG
FAU - Birolini, D
AU  - Birolini D
LA  - por
PT  - English Abstract
PT  - Journal Article
TT  - Sindrome de Fournier: avaliacao e tratamento inicial.
PL  - Brazil
TA  - Rev Assoc Med Bras (1992)
JT  - Revista da Associacao Medica Brasileira (1992)
JID - 9308586
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Gangrene/etiology/pathology/therapy
MH  - Genital Diseases, Male/pathology/therapy
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Retrospective Studies
MH  - Scrotum/*pathology
MH  - Syndrome
EDAT- 1992/10/01 00:00
MHDA- 1992/10/01 00:01
CRDT- 1992/10/01 00:00
PHST- 1992/10/01 00:00 [pubmed]
PHST- 1992/10/01 00:01 [medline]
PHST- 1992/10/01 00:00 [entrez]
PST - ppublish
SO  - Rev Assoc Med Bras (1992). 1992 Oct-Dec;38(4):209-13.