A rare case of male Fournier’s gangrene with mixed Actinomyces turicensis infection

BMC Urology

Xuan Zhou¹  Meng-nan Tian¹  Tong-chun Mao¹  Yi-ming Zhang¹  Shao-liang Wang¹ 

[1] Department of Plastic and Cosmetic Surgery, Xinqiao Hospital, Army Medical University, Chongqing, China;

关键词: Fournier's gangrene;    Actinomyces;    Necrotizing fasciitis;    Skin grafting;    Case report;   

DOI  :  10.1186/s12894-022-00975-z

来源: Springer

【 摘 要 】

BackgroundFournier's gangrene (FG), a urological emergency with high mortality, is an infectious necrotizing fasciitis of the perineal and genital regions. The majority of FG is caused by polymicrobial organisms involving mixed aerobes and anaerobes but rarely reveals Actinomyces species.Case presentationWe report a healthy 67-year-old Asian male who presented with rapidly progressive painful swelling of the scrotum. Clinically diagnosed with FG, the patient underwent an emergency radical debridement, followed by broad-spectrum antibiotics and negative pressure wound therapy. The identification of the causative microorganisms showed Actinomyces turicensis and the antibiotic treatment was adjusted accordingly. After wound bed preparation, we took split-thickness skin grafts to cover the scrotal wound. Active management to minimize faecal contamination was applied throughout the whole course of treatment and repair. The patient was satisfied with the outcome. This was an extremely rare case of A. turicensis as the main causative pathogen of FG.ConclusionsFG due to Actinomyces species is rarely reported, but we should still consider this pathogenic microorganism that has long been neglected.

【 授权许可】

CC BY