Clinical Case - Fournier Syndrome

     WOUNDS INFECTED FOURNIER SYNDROME

 

The syndrome is identified as lesions with insidious evolution characterized by necrotizing fasciities of the fascia of Scarp, that is, involving the perineum area. J.A. Fournier described it in 1883.

The opportune conducts of wide surgical debridement and specific antibiotic therapy are preponderant for the control of the infection.

According to the bacterial aggressiveness, patientís nutrition and immunologic state, cellulitis can develop for extensive, deep systemic and cutaneous infections. The most common bacterial agents are Gram-negative bacteria.

In aggressive lesions temporary deviation of the intestinal flow is necessary.

The indication of hyperbaric
oxygentherapy
(HBO) is essential in helping the control of the infection and in the formation of granulated tissue.

Several healing and coverings present bactericide action and they can be used as helping of the specific antibioticotherapy, for example: 
-
silver sulfadiazine and cerio
nitrate
 
-
activated coal 
-
oil or cream ozonizated.

The ozonotherapy can be used topicamente through the breakup of the ozone in aqueous and oleaginous solutions. 

The wounds cannot they be also washed with physiologic saline solution (0,9%) "enriched" with bactericide substances, as:† 
-
ricinoleic acid (derived of the castor oil Ricinus communis) diluted in physiologic saline in the proportion of 1:4 (solution pattern);
-
papain 2% diluted in physiologic saline; 
-
ozone: through the employment of physiologic ozonizated.

SEE

Necrotic Fasciities



Hyperbaric Oxygentherapy

ALSO SEE

DRESSING and COVERINGS
    - Bioperoxoil
    - Linoleic Acid
    - Ricinoleic Acid

    - Papain
    -
Collagenase
    - Calcium & Sodium Alginate
    - Activated Coal & Silver

To KNOW MORE...

It Consults the Feridologo's Book - 2006
Santos - S„o Paulo - Brazil.