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Journal of Indian Association of Pediatric Surgeons
     Journal of Indian Association of Pediatric Surgeons
Official journal of the Indian Association of Pediatric Surgeons         
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Year : 2003  |  Volume : 8  |  Issue : 3  |  Page : 175-178

Fournier's gangrene in neonates


Department of Pediatric Surgery SP Medical College & Associated Group of Hospital, Bikaner

Correspondence Address:
RB Goyal
Department of Pediatric Surgery SP Medical College & Associated Group of Hospital, Bikaner

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Source of Support: None, Conflict of Interest: None


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ABSTRACT: Fournier's gangrene, an anerobic necrotizing fasciitis, is a serious pathologic entity primarily affecting adults. Herein we report three cases of Fournier's gangrene, all under the age of one month and presenting almost simultaneously. These were treated by broad spectrum antibiotics and repeated surgical debridement. All survived with no complications. Polymicrobial infection was held responsible for the gangrene. Stress was given on vigorous treatment which included hemodynamic stabilization, para\enteral broad spectrum antibiotics and surgical debridement. Though measures like institution of hyperbaric oxygen and application of various topical agents have been described in the literature, the cases in the present series responded well to combination of antibiotics and surgical debridement.






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