RESUMO
A dog was diagnosed with Fournier's gangrene associated with chronic kidney disease. Clinical features included crepitant scrotal inflammation that spread to the penis; the lesion exhibited liquefactive necrosis or purulent moist gangrene. This is the first description of Fournier's gangrene associated with chronic kidney disease in a dog.
Gangrène de Fournier associée à la maladie rénale chronique chez un chien. Un diagnostic de gangrène de Fournier a été posé en association avec une maladie rénale chronique. Les caractéristiques cliniques incluaient une inflammation scrotale crépitante qui s'est propagée au pénis; la lésion a manifesté une nécrose liquéfactrice ou une gangrène humide purulente. Il s'agit de la première description de gangrène de Fournier associée à une maladie rénale chronique chez un chien.(Traduit par Isabelle Vallières).
Assuntos
Doenças do Cão/etiologia , Gangrena de Fournier/veterinária , Insuficiência Renal Crônica/veterinária , Animais , Doenças do Cão/patologia , Cães , Evolução Fatal , Gangrena de Fournier/etiologia , Gangrena de Fournier/patologia , Masculino , Insuficiência Renal Crônica/complicaçõesRESUMO
A 37-yr-old male chimpanzee (Pan troglodytes) was evaluated for intermittent diarrhea, scrotal swelling, and lethargy of 2 days duration. Physical examination revealed marked swelling of the scrotum and perineal tissues with mild pitting edema and crepitus. Computed tomography revealed a mixed gas and soft-tissue density extending from the caudal ventral subcutaneous tissues caudally to the scrotum and perineal tissues. Surgical exploration and castration were performed to establish drainage, and culture revealed a polymicrobial infection. A diagnosis of scrotal and fascial plane abscessation consistent with Fournier's gangrene was made. Although castration with open drainage was performed, the animal died 36 hr after surgery. Postmortem examination and histopathology revealed necrotizing fasciitis of the penis, vaginal tunic, and subcutaneous perineal and perianal tissues.
Assuntos
Gangrena de Fournier/veterinária , Pan troglodytes , Abscesso/diagnóstico , Animais , Evolução Fatal , Gangrena de Fournier/patologia , Gangrena de Fournier/cirurgia , Masculino , Períneo/patologia , Escroto/patologiaRESUMO
OBJECTIVE: To describe the clinical course of a cat diagnosed with Fournier's gangrene. CASE SUMMARY: A 2-year-old castrated male cat was presented to an emergency hospital for evaluation of acute onset of lethargy, mucoid anal discharge, and fever. During hospitalization, with provision of supportive care, an area of necrotizing fasciitis around the prepuce and anus developed and surgical debridement was performed. Severe sepsis developed secondary to the necrotizing fasciitis and the cat was eventually euthanized. NEW INFORMATION PROVIDED: The purpose of this report is to document the first case of Fournier's gangrene in a cat that presented for mucoid anal discharge, lethargy, and mild ataxia, and to alert emergency clinicians to this disease process. Early detection of the disease with prompt, aggressive supportive care and surgical debridement is necessary for successful treatment.