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Normal CD4 Sayılı HIV Pozitif Bir Hastada Fournier Gangreni

Fournier's Gangrene at HIV Positive Patient with Normal CD4 Count

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Abstract (2. Language): 
Fournier's gangrene mainly seen in men is rapidly progressi-ve necrotizing fasciitis and has a high mortality rate. Altho-ugh the etiology of Fournier's gangrene is similar to the show soft tissue infections, the disease especially could be morta-lity in patients with immunosuppressive and diabetes. The main factors in treatment of the disease are early diagnosis, surgical debridement and appropriate antibiotics. In this article we aimed to present developing Fournier’s gangrene in a patient with human immunedeficiency virus (HIV) positi-ve after iskiorectal abscess drainage and intended to high-light the need for early surgical debridement.
Abstract (Original Language): 
Fournier gangreni, ağırlıklı olarak erkeklerde görülen, hızlı ilerleyen, mortalite oranı yüksek bir nekrotizan fasiittir. Yumuşak doku enfeksiyonları ile benzer etiyoloji gösterme-sine karşın özellikle immünsüpressif ve diabetli hastalarda hastalık çok daha hızlı seyir göstererek mortal seyreder. Hastalığın tedavisinde ana unsurlar erken tanı, erken cerra-hi debritman ve uygun antibiyoterapidir. Bu çalışma predis-pozan faktör olarak insan immün yetmezlik virusu (HIV) pozitifliği olan bir hastada iskiorektal apse drenajı sonrasın-da Fournier gangreni gelişimini aktarmak ve bu hastalarda erken cerrahi debritmanın gerekliliğini vurgulamak amaç-lanmıştır.
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