Evidence map›Paper›PMID 38686076›Full record

ArticleIJU case reports2024

A case of successful treatment of Fournier's gangrene through conservative management and elective debridement.

Toshifumi Takahashi, Kouhei Maruno, Tatsuya Hazama, Yuya Yamada, Masakazu Nakashima, Kazuro Kikkawa, Masahiro Tamaki, Noriyuki Ito

Abstract readCase Reports
PubMed Full text at PMC Publisher
In one paragraph

Article in IJU case reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. 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

8 authors.

Toshifumi TakahashiDepartment of Urology Japanese Red Cross Wakayama Medical Center Wakayama Japan.ORCID https://orcid.org/0000-0003-1979-8270
Kouhei MarunoDepartment of Urology Japanese Red Cross Wakayama Medical Center Wakayama Japan.
Tatsuya HazamaDepartment of Urology Japanese Red Cross Wakayama Medical Center Wakayama Japan.
Yuya YamadaDepartment of Urology Japanese Red Cross Wakayama Medical Center Wakayama Japan.ORCID https://orcid.org/0000-0002-5949-7790
Masakazu NakashimaDepartment of Urology Japanese Red Cross Wakayama Medical Center Wakayama Japan.
Kazuro KikkawaDepartment of Urology Japanese Red Cross Wakayama Medical Center Wakayama Japan.ORCID https://orcid.org/0000-0002-8001-8264
Masahiro TamakiDepartment of Urology Japanese Red Cross Wakayama Medical Center Wakayama Japan.
Noriyuki ItoDepartment of Urology Japanese Red Cross Wakayama Medical Center Wakayama Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Fournier's gangrene refers to a necrotizing fasciitis that mainly affects the perineal region and a condition that requires immediate debridement. This case involved elective debridement of Fournier's gangrene after the general condition was improved through antibiotic treatment instead of requesting an emergency debridement. Case presentation: The patient was an 85-year-old man with a performance status of 4 admitted to a nursing home. He was transferred by ambulance with a fever. Blood tests showed a markedly elevated inflammatory response, and computed tomography revealed widespread aerodermectasia around the right testis to the lower abdomen. The patient was diagnosed with Fournier's gangrene. However, his family declined emergency surgical debridement. The patient's general condition was improved with antibiotics, and debridement was eventually performed. After 52 days of hospitalization, the patient was transferred to another hospital. Conclusion: This study describes the successful treatment of Fournier's gangrene through conservative treatment followed by elective debridement.

Indexed as

elective debridementFournier's gangreneNecrotizing fasciitis

Identifiers

PMID38686076
PMCPMC11056266

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Registered trials

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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.