陰部に発症したA群溶血性連鎖球菌による壊死性筋膜炎（フルニエ壊疽）の1例

越智 敦彦; 直井 牧人; 江夏 徳寿; 藤崎 明; 船田 哲; 鈴木 康一郎; 志賀 直樹; 太田 智則; 久慈 弘士; 細川 直登; 岩田 健太郎

doi:10.5980/jpnjurol.102.644

Case Reports

GROUP A STREPTOCOCCAL NECROTIZING FASCIITIS OF THE GENITAL AREA (FOURNIER'S GANGRENE): A CASE REPORT

Atsuhiko Ochi, Makito Naoi, Noritoshi Enatsu, Akira Fujisaki, Satoshi Funada, Koichiro Suzuki, Naoki Shiga, Tomonori Ota, Hiroshi Kuji, Naoto Hosokawa, Kentaro Iwata

Author information

Atsuhiko Ochi
Department of Urology, Kameda Medical Center
Makito Naoi
Department of Urology, Kameda Medical Center
Present address: Department of Urology, Toho University Sakura Medical Center
Noritoshi Enatsu
Department of Urology, Kameda Medical Center
Akira Fujisaki
Department of Urology, Kameda Medical Center
Present address: Department of Urology, International University of Health and Welfare Hospital
Satoshi Funada
Department of Urology, Kameda Medical Center
Koichiro Suzuki
Department of Urology, Kameda Medical Center
Naoki Shiga
Department of Urology, Kameda Medical Center
Tomonori Ota
Department of Urology, Kameda Medical Center
Hiroshi Kuji
Department of Urology, Kameda Medical Center
Naoto Hosokawa
Department of General Medicine and Infectious Disease, Kameda Medical Center
Kentaro Iwata
Department of General Medicine and Infectious Disease, Kameda Medical Center
Present address: Division of Infectious Diseases, Kobe University

Keywords: Fournier's gangrene, group A streptococcal infection, necrotizing fasciitis

JOURNAL FREE ACCESS

2011 Volume 102 Issue 4 Pages 644-648

DOI https://doi.org/10.5980/jpnjurol.102.644

Details

Abstract

A necrotizing fasciitis especially caused by group A streptococcal infection is a life-threatening disease. This infection cause death due to septic shock and multiple organ failure in a short time without the immediate and adequate treatment. Currently a rapid test kit for streptococcal pharyngitis (strep A) is useful for prediction of group A streptococcal infection.
We here demonstrate a 61 years old man's case of life-saved necrotizing fasciitis in genital area (Fournier's gangrene) by group A streptococcus infection, and usefulness of this kit for rapid diagnosis, aggressive debridement, and selection of adequate antibiotics.

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