Evidence map›Paper›PMID 35197026›Full record

ArticleBMC urology2022

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

Tong-Chun Mao, Xuan Zhou, Meng-Nan Tian, Yi-Ming Zhang, Shao-Liang Wang

Open access · goldAbstract read
In one paragraph

Article in BMC urology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
6.2field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Treatment of Actinomyces europaeus and Clostridium innocuum necrotizing fasciitis: Case report and literature review.American journal of health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists · 2025
    Review
  4. Polymicrobial infections with specificJournal of oral microbiology · 2024
    Review
  5. Case report: A rare case of skin abscess caused by coinfection ofFrontiers in cellular and infection microbiology · 2024
    Article
  6. Article
  7. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Tong-Chun Mao *Department of Plastic and Cosmetic Surgery, Xinqiao Hospital, Army Medical University, Chongqing, China.
Xuan Zhou *Department of Plastic and Cosmetic Surgery, Xinqiao Hospital, Army Medical University, Chongqing, China.
Meng-Nan TianDepartment of Plastic and Cosmetic Surgery, Xinqiao Hospital, Army Medical University, Chongqing, China.
Yi-Ming ZhangDepartment of Plastic and Cosmetic Surgery, Xinqiao Hospital, Army Medical University, Chongqing, China.
Shao-Liang WangDepartment of Plastic and Cosmetic Surgery, Xinqiao Hospital, Army Medical University, Chongqing, China. xqzxwsl@163.com.
Army Medical University · CNXinqiao Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

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 PRESENTATION: We 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.

Indexed as

ActinomycetaceaeActinomycetales InfectionsAgedAnti-Bacterial AgentsDebridementFournier GangreneHumansMaleScrotumAnti-Bacterial AgentsActinomycesCase reportFournier's gangreneNecrotizing fasciitisSkin grafting

Identifiers

PMID35197026
PMCPMC8867770
OpenAlexW4212824540

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.