Fournier's Gangrene at HIV Positive Patient with Normal CD4 Count

Abstract

Fournier gangreni, agirlikli olarak erkeklerde gorulen, hizli ilerleyen, mortalite orani yuksek bir nekrotizan fasiittir. Yumusak doku enfeksiyonlari ile benzer etiyoloji gosterme- sine karsin ozellikle immunsupressif ve diabetli hastalarda hastalik cok daha hizli seyir gostererek mortal seyreder. Hastaligin tedavisinde ana unsurlar erken tani, erken cerra- hi debritman ve uygun antibiyoterapidir. Bu calisma predis- pozan faktor olarak insan immun yetmezlik virusu (HIV) pozitifligi olan bir hastada iskiorektal apse drenaji sonrasin- da Fournier gangreni gelisimini aktarmak ve bu hastalarda erken cerrahi debritmanin gerekliligini vurgulamak amac- lanmistir. Fournier's gangrene mainly seen in men is rapidly progressi- ve necrotizing fasciitis and has a high mortality rate. Altho- ugh the etiology of Fournier's gangrene is similar to the show soft tissue infections, the disease especially could be morta- lity in patients with immunosuppressive and diabetes. The main factors in treatment of the disease are early diagnosis, surgical debridement and appropriate antibiotics. In this article we aimed to present developing Fournier's gangrene in a patient with human immunedeficiency virus (HIV) positi- ve after iskiorectal abscess drainage and intended to high- light the need for early surgical debridement.