Case of anal fistula with Fournier's gangrene in an obese type 2 diabetes mellitus patient
A 64‐year‐old man was admitted to Shin‐suma General Hospital, Kobe, Japan, complaining of a 3‐day history of scrotal swelling and high fever. He had type 2 diabetes mellitus. On examination, his body temperature had risen to 38.5°C. Examination of the scrotum showed abnormal enlargement. Laboratory...
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| Veröffentlicht in: | Journal of diabetes investigation 2016-03, Vol.7 (2), p.276-278 |
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| creator | Yoshino, Hiroshi Kawakami, Kyoko Yoshino, Gen Sawada, Katsuhiro |
| description | A 64‐year‐old man was admitted to Shin‐suma General Hospital, Kobe, Japan, complaining of a 3‐day history of scrotal swelling and high fever. He had type 2 diabetes mellitus. On examination, his body temperature had risen to 38.5°C. Examination of the scrotum showed abnormal enlargement. Laboratory data were as follows: white cell count 35,400/μL and glycated hemoglobin 9.6%. Anal fistula was found in an endorectal ultrasound. Computed tomography scan showed a relatively high density of subcutaneous tissue and elevated air density. Thus, he was diagnosed with Fournier's gangrene. On the fourth hospital day, the patient underwent debridement of gangrenous tissue. Seton surgery was carried out for anal fistula on the 34th hospital day. He responded to the treatment very well. He was discharged on the 33rd postoperative day. Once Fournier's gangrene has been diagnosed, considering the association of anal fistula and perianal abscess is important.
We present the case of an obese diabetic patient with Fournier's gangrene. Earlier detection and intervention may provide opportunities to improve outcomes Fournier's gangrene. |
| doi_str_mv | 10.1111/jdi.12355 |
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We present the case of an obese diabetic patient with Fournier's gangrene. Earlier detection and intervention may provide opportunities to improve outcomes Fournier's gangrene.</description><identifier>ISSN: 2040-1116</identifier><identifier>EISSN: 2040-1124</identifier><identifier>DOI: 10.1111/jdi.12355</identifier><identifier>PMID: 27042282</identifier><language>eng</language><publisher>Japan: John Wiley & Sons, Inc</publisher><subject>Anal fistula ; Body temperature ; Case Report ; Computed tomography ; Diabetes ; Diabetes mellitus ; Diabetes mellitus (non-insulin dependent) ; Diabetes Mellitus, Type 2 - complications ; Fever ; Fistula ; Fistulae ; Fournier Gangrene - complications ; Fournier Gangrene - diagnostic imaging ; Fournier Gangrene - surgery ; Fournier's gangrene ; Gangrene ; Glucose ; Hemoglobin ; Humans ; Infections ; Laboratories ; Male ; Middle Aged ; Mortality ; Obesity - complications ; Patients ; Rectal Fistula - complications ; Rectal Fistula - diagnostic imaging ; Rectal Fistula - surgery ; Scrotum ; Surgery ; Tomography ; Tomography, X-Ray Computed ; Ultrasound</subject><ispartof>Journal of diabetes investigation, 2016-03, Vol.7 (2), p.276-278</ispartof><rights>2015 The Authors. Journal of Diabetes Investigation published by Asian Association of the Study of Diabetes (AASD) and Wiley Publishing Asia Pty Ltd</rights><rights>2016. This work is published under http://creativecommons.org/licenses/by-nc-nd/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5135-650a4d1f2c796339de0b62b2e1823b3bfa620a994f1379ae72fcb2e8371d0c1a3</citedby><cites>FETCH-LOGICAL-c5135-650a4d1f2c796339de0b62b2e1823b3bfa620a994f1379ae72fcb2e8371d0c1a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4773667/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4773667/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,1416,11561,27923,27924,45573,45574,46051,46475,53790,53792</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27042282$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Yoshino, Hiroshi</creatorcontrib><creatorcontrib>Kawakami, Kyoko</creatorcontrib><creatorcontrib>Yoshino, Gen</creatorcontrib><creatorcontrib>Sawada, Katsuhiro</creatorcontrib><title>Case of anal fistula with Fournier's gangrene in an obese type 2 diabetes mellitus patient</title><title>Journal of diabetes investigation</title><addtitle>J Diabetes Investig</addtitle><description>A 64‐year‐old man was admitted to Shin‐suma General Hospital, Kobe, Japan, complaining of a 3‐day history of scrotal swelling and high fever. He had type 2 diabetes mellitus. On examination, his body temperature had risen to 38.5°C. Examination of the scrotum showed abnormal enlargement. Laboratory data were as follows: white cell count 35,400/μL and glycated hemoglobin 9.6%. Anal fistula was found in an endorectal ultrasound. Computed tomography scan showed a relatively high density of subcutaneous tissue and elevated air density. Thus, he was diagnosed with Fournier's gangrene. On the fourth hospital day, the patient underwent debridement of gangrenous tissue. Seton surgery was carried out for anal fistula on the 34th hospital day. He responded to the treatment very well. He was discharged on the 33rd postoperative day. Once Fournier's gangrene has been diagnosed, considering the association of anal fistula and perianal abscess is important.
We present the case of an obese diabetic patient with Fournier's gangrene. Earlier detection and intervention may provide opportunities to improve outcomes Fournier's gangrene.</description><subject>Anal fistula</subject><subject>Body temperature</subject><subject>Case Report</subject><subject>Computed tomography</subject><subject>Diabetes</subject><subject>Diabetes mellitus</subject><subject>Diabetes mellitus (non-insulin dependent)</subject><subject>Diabetes Mellitus, Type 2 - complications</subject><subject>Fever</subject><subject>Fistula</subject><subject>Fistulae</subject><subject>Fournier Gangrene - complications</subject><subject>Fournier Gangrene - diagnostic imaging</subject><subject>Fournier Gangrene - surgery</subject><subject>Fournier's gangrene</subject><subject>Gangrene</subject><subject>Glucose</subject><subject>Hemoglobin</subject><subject>Humans</subject><subject>Infections</subject><subject>Laboratories</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Mortality</subject><subject>Obesity - complications</subject><subject>Patients</subject><subject>Rectal Fistula - complications</subject><subject>Rectal Fistula - diagnostic imaging</subject><subject>Rectal Fistula - surgery</subject><subject>Scrotum</subject><subject>Surgery</subject><subject>Tomography</subject><subject>Tomography, X-Ray Computed</subject><subject>Ultrasound</subject><issn>2040-1116</issn><issn>2040-1124</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><sourceid>WIN</sourceid><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNqNkc-O0zAQxi0EYqvSAy-ALHGAPbTrf7GTCxIq291FK3GBEwdrkky6rtKk2Amrvg3PwpMxpUsFSEjMxZbm588z38fYcykWkupiU4eFVDrLHrGJEkbMpVTm8eku7RmbpbQRVDrPrXVP2ZlywiiVqwn7vISEvG84dNDyJqRhbIHfh-GOr_oxdgHjq8TX0K0jdshDRyDvS6RHw36H378pXgcoccDEt9i2YRgT38EQsBuesScNtAlnD-eUfVpdflxez28_XN0s397Oq0zqbG4zAaaWjapcYbUuahSlVaVCmStd6rIBqwQUhWmkdgWgU01F3Vw7WYtKgp6yN0fd3Vhusa7o6wit38Wwhbj3PQT_Z6cLd37df_XGOU2GkMDrB4HYfxkxDX4bUkXbQIf9mLx0LneiMDTPf6DWWp0ZQ-jLv9DNwVFywitVCOksiRJ1fqSq2KcUsTnNLYU_BOwpYP8zYGJf_L7oifwVJwEXR-A-tLj_t5J__-7mKPkDyeyvGA</recordid><startdate>201603</startdate><enddate>201603</enddate><creator>Yoshino, Hiroshi</creator><creator>Kawakami, Kyoko</creator><creator>Yoshino, Gen</creator><creator>Sawada, Katsuhiro</creator><general>John Wiley & Sons, Inc</general><general>John Wiley and Sons Inc</general><scope>24P</scope><scope>WIN</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7T5</scope><scope>7TM</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>M0S</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>201603</creationdate><title>Case of anal fistula with Fournier's gangrene in an obese type 2 diabetes mellitus patient</title><author>Yoshino, Hiroshi ; Kawakami, Kyoko ; Yoshino, Gen ; Sawada, Katsuhiro</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5135-650a4d1f2c796339de0b62b2e1823b3bfa620a994f1379ae72fcb2e8371d0c1a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Anal fistula</topic><topic>Body temperature</topic><topic>Case Report</topic><topic>Computed tomography</topic><topic>Diabetes</topic><topic>Diabetes mellitus</topic><topic>Diabetes mellitus (non-insulin dependent)</topic><topic>Diabetes Mellitus, Type 2 - complications</topic><topic>Fever</topic><topic>Fistula</topic><topic>Fistulae</topic><topic>Fournier Gangrene - complications</topic><topic>Fournier Gangrene - diagnostic imaging</topic><topic>Fournier Gangrene - surgery</topic><topic>Fournier's gangrene</topic><topic>Gangrene</topic><topic>Glucose</topic><topic>Hemoglobin</topic><topic>Humans</topic><topic>Infections</topic><topic>Laboratories</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Mortality</topic><topic>Obesity - complications</topic><topic>Patients</topic><topic>Rectal Fistula - complications</topic><topic>Rectal Fistula - diagnostic imaging</topic><topic>Rectal Fistula - surgery</topic><topic>Scrotum</topic><topic>Surgery</topic><topic>Tomography</topic><topic>Tomography, X-Ray Computed</topic><topic>Ultrasound</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Yoshino, Hiroshi</creatorcontrib><creatorcontrib>Kawakami, Kyoko</creatorcontrib><creatorcontrib>Yoshino, Gen</creatorcontrib><creatorcontrib>Sawada, Katsuhiro</creatorcontrib><collection>Wiley-Blackwell Open Access Titles</collection><collection>Wiley Free Content</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Immunology Abstracts</collection><collection>Nucleic Acids Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of diabetes investigation</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yoshino, Hiroshi</au><au>Kawakami, Kyoko</au><au>Yoshino, Gen</au><au>Sawada, Katsuhiro</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Case of anal fistula with Fournier's gangrene in an obese type 2 diabetes mellitus patient</atitle><jtitle>Journal of diabetes investigation</jtitle><addtitle>J Diabetes Investig</addtitle><date>2016-03</date><risdate>2016</risdate><volume>7</volume><issue>2</issue><spage>276</spage><epage>278</epage><pages>276-278</pages><issn>2040-1116</issn><eissn>2040-1124</eissn><abstract>A 64‐year‐old man was admitted to Shin‐suma General Hospital, Kobe, Japan, complaining of a 3‐day history of scrotal swelling and high fever. He had type 2 diabetes mellitus. On examination, his body temperature had risen to 38.5°C. Examination of the scrotum showed abnormal enlargement. Laboratory data were as follows: white cell count 35,400/μL and glycated hemoglobin 9.6%. Anal fistula was found in an endorectal ultrasound. Computed tomography scan showed a relatively high density of subcutaneous tissue and elevated air density. Thus, he was diagnosed with Fournier's gangrene. On the fourth hospital day, the patient underwent debridement of gangrenous tissue. Seton surgery was carried out for anal fistula on the 34th hospital day. He responded to the treatment very well. He was discharged on the 33rd postoperative day. Once Fournier's gangrene has been diagnosed, considering the association of anal fistula and perianal abscess is important.
We present the case of an obese diabetic patient with Fournier's gangrene. Earlier detection and intervention may provide opportunities to improve outcomes Fournier's gangrene.</abstract><cop>Japan</cop><pub>John Wiley & Sons, Inc</pub><pmid>27042282</pmid><doi>10.1111/jdi.12355</doi><tpages>3</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Anal fistula Body temperature Case Report Computed tomography Diabetes Diabetes mellitus Diabetes mellitus (non-insulin dependent) Diabetes Mellitus, Type 2 - complications Fever Fistula Fistulae Fournier Gangrene - complications Fournier Gangrene - diagnostic imaging Fournier Gangrene - surgery Fournier's gangrene Gangrene Glucose Hemoglobin Humans Infections Laboratories Male Middle Aged Mortality Obesity - complications Patients Rectal Fistula - complications Rectal Fistula - diagnostic imaging Rectal Fistula - surgery Scrotum Surgery Tomography Tomography, X-Ray Computed Ultrasound |
| title | Case of anal fistula with Fournier's gangrene in an obese type 2 diabetes mellitus patient |
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