Iberoamerican Journal of Medicine
https://iberoamjmed.com/article/doi/10.53986/ibjm.2023.0012
Iberoamerican Journal of Medicine
Case Report

A case of Fournier’s gangrene caused by Rothia dentocariosa

Un caso de gangrena de Fournier por Rothia dentocariosa

Taylan Önder, Sevil Alkan, Seyhan Tezcan

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Abstract

We report a case of Fournier's gangrene rescued by debridement. A 40-year-old male patient had a 2x2 cm draining ulcer and 1x2 cm necrotic area in the scrotum for about a month. The patient was diagnosed with Fournier's gangrene. Septic shock and disseminated intravascular coagulation were absent. Computed tomography scan showed soft tissue gas in the scrotum but no gas in the retroperitoneal space or abdominal wall. Debridement was performed. Gangrene of the scrotum and necrosis of the testicle was also seen. Rothia dentocariosa was isolated in extracted wound cultures. He was saved after debridement and administration of strong antibiotics. This is the first case of Fournier's gangrene caused by R. dentocariosa in the available literature.

Keywords

Fournier’s gangrene; Rothia; Rothia dentocariosa

Resumen

Presentamos un caso de gangrena de Fournier rescatado mediante desbridamiento. Un paciente varón de 40 años presentó una úlcera supurante de 2x2 cm y un área necrótica de 1x2 cm en el escroto durante aproximadamente un mes. El paciente fue diagnosticado con gangrena de Fournier. El shock séptico y la coagulación intravascular diseminada estaban ausentes. La tomografía computarizada mostró gas en los tejidos blandos del escroto, pero no en el espacio retroperitoneal ni en la pared abdominal. Se realizó desbridamiento. También se observó gangrena del escroto y necrosis del testículo. Se aisló Rothia dentocariosa en cultivos extraídos de heridas. Se salvó después del desbridamiento y la administración de antibióticos fuertes. Este es el primer caso de gangrena de Fournier por R. dentocariosa en la literatura disponible.

Palabras clave

Gangrena de Fournier; Rothia; Rothia dentocariosa

References

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Submitted date:
01/28/2023

Reviewed date:
03/03/2023

Accepted date:
03/18/2023

Publication date:
03/18/2023

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