Gangrena de Fournier cuadro clínico y de laboratorio estudio a realizarse en el Hospital de Especialidades Dr. Abel Gilbert Pontón período de enero de 2014 a enero 2015
Fecha
2016
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Carrera de Medicina
Resumen
Introducción: La Gangrena de Fournier es considerada una enfermedad rara en otros países pero con altos niveles de mortalidad debido a su rápida evolución, y cuyo pronóstico depende de un reconocimiento y tratamiento temprano. Afecta a hombres entre la sexta y séptima décadas de la vida en su mayoría, pero también puede afectar a mujeres y niños y a pesar de que hace algún tiempo atrás fue considerada idiopática.
En base a esto considero importante que el médico general maneje información actualizada de la forma de presentación, curso, evolución y pronóstico de la Gangrena de Fournier con la finalidad de que tenga las herramientas necesarias para buscar intencionadamente mediante un interrogatorio dirigido, exámenes de laboratorio y de gabinete cuando se sospeche de una Gangrena de Fournier, todo esto con la finalidad de otorgarle una intervención oportuna para una recuperación pronta y efectiva del paciente.
Objetivo: Determinar la clínica y resultados de laboratorio para dar un diagnóstico certero atendido en el área de cirugía y en la emergencia que llegaron al Hospital Dr. Abel Gilbert Pontón.
Que el médico general tenga la competencia sobre la patología “Gangrena de Fournier” para poder ofrecer diagnóstico certero y precoz en las primeras etapas de la enfermedad y así canalizar al paciente oportunamente.
Metodología: Es un estudio descriptivo retrospectivo, llevado a cabo en la revisión de historias clínicas de pacientes con Gangrena de Fournier diagnosticados por la clínica y exámenes de laboratorio y que hayan llevado tratamiento en los servicios de medicina interna y emergencia del Hospital De Especialidades Dr. Abel Gilbert Pontón de la ciudad de Guayaquil en el periodo 2014.
Resultados: En el año que se llevó a cabo este estudio que es el 2014 se recolectó 85 pacientes diagnosticados con Gangrena de Fournier, en donde predomino el sexo masculino con un 85% seguido del 35% para el sexo femenino
Observamos también que la mayoría de la infección que se aisló en el laboratorio es polimicrobiana, con gérmenes aerobios y anaerobios.
El germen de menos a más frecuente aislado fue Echerichia coli (N.7), seguido de Stafilococco aureus (N.15) y Pseudomona (N. 22).
Introduction: Fournier's gangrene is considered a rare disease in other countries but with high levels of mortality due to their rapid evolution, and which depends on recognition and treatment early. It mostly affects men between the sixth and seventh decades of life but can also affect women and children and while it makes some time ago was considered idiopathic. Based on this I think it is important that the general practitioner manages update of the form of presentation, course, evolution and prognosis of Fournier's gangrene with the purpose of having the necessary tools to search intentionally using a directed interrogation, lab tests and Cabinet when Fournier's gangrene, all this with the aim to provide you with a timely intervention for a prompt and effective recovery of the patient is suspected. Objective: To determine the clinical and laboratory results to give an accurate diagnosis assisted in surgery and in emergency that came to the Hospital Dr. Abel Gilbert Pontón. General practitioner have competition on the pathology "Fournier's gangrene" in order to provide accurate and early diagnosis in the early stages of the disease and thus channelling the patient appropriately. Methodology: It is a retrospective descriptive study, carried out in the review of clinical histories of patients with Fournier's gangrene diagnosed by clinical and laboratory tests and which have taken treatment services internal medicine and emergency Hospital of specialties Dr. Abel Gilbert pontoon from the city of Guayaquil in the period to 2014. Results: In the year which was carried out this study which is 2014 collected 85 patients diagnosed with Fournier's gangrene, where males with 85% followed by 35% for female dominance We also note that the majority of the infection that was isolated in the laboratory is polymicrobial, with aerobic and anaerobic germs. The germ of less to more frequent reservations was Echerichia coli (N.7), followed by Stafilococco aureus (N.15) and Pseudomonas (N. 22).
Introduction: Fournier's gangrene is considered a rare disease in other countries but with high levels of mortality due to their rapid evolution, and which depends on recognition and treatment early. It mostly affects men between the sixth and seventh decades of life but can also affect women and children and while it makes some time ago was considered idiopathic. Based on this I think it is important that the general practitioner manages update of the form of presentation, course, evolution and prognosis of Fournier's gangrene with the purpose of having the necessary tools to search intentionally using a directed interrogation, lab tests and Cabinet when Fournier's gangrene, all this with the aim to provide you with a timely intervention for a prompt and effective recovery of the patient is suspected. Objective: To determine the clinical and laboratory results to give an accurate diagnosis assisted in surgery and in emergency that came to the Hospital Dr. Abel Gilbert Pontón. General practitioner have competition on the pathology "Fournier's gangrene" in order to provide accurate and early diagnosis in the early stages of the disease and thus channelling the patient appropriately. Methodology: It is a retrospective descriptive study, carried out in the review of clinical histories of patients with Fournier's gangrene diagnosed by clinical and laboratory tests and which have taken treatment services internal medicine and emergency Hospital of specialties Dr. Abel Gilbert pontoon from the city of Guayaquil in the period to 2014. Results: In the year which was carried out this study which is 2014 collected 85 patients diagnosed with Fournier's gangrene, where males with 85% followed by 35% for female dominance We also note that the majority of the infection that was isolated in the laboratory is polymicrobial, with aerobic and anaerobic germs. The germ of less to more frequent reservations was Echerichia coli (N.7), followed by Stafilococco aureus (N.15) and Pseudomonas (N. 22).
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Gangrena de Fournier, Diagnóstico de laboratorio, Estudios retrospectivos, Hospital de Especialidades Guayaquil Dr. Abel Gilbert Pontón, Cantón Guayaquil, Ecuador