Browsing by Author "Valencia Betancourt, Rony Stiven"
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Item Gangrena de Fournier en hombre: reporte de un caso(Universidad Santiago de Cali, 2024) Bravo Muñoz, Nicolle Dayhana; Manzano Jiménez, Sebastián; Valencia Betancourt, Rony Stiven; Romero Ortiz, Justy (Director)We present a 69-year-old male patient with a history of chronic kidney disease and type 2 diabetes mellitus, who was admitted to the Emergency Department and then to the ICU with a diagnosis of soft tissue sepsis secondary to Fournier's gangrene. The patient had presented with hemorrhoids for one month, but during the physical examination necrosis was evident in the perineum and anus, with clear signs of infection. Due to the severity of his condition, a colostomy and perineal debridement was performed on the same day of his admission. After this, the patient was admitted to the ICU, where he faced severe complications such as hemodynamic instability, acute respiratory failure, septic shock, and chronic renal failure. sharpened. Despite intensive treatment, including vasoactive support, mechanical ventilation, and renal replacement therapy, the patient's condition continued to deteriorate. He suffered cardiorespiratory arrest and was resuscitated, but his neurological condition worsened, and the family decided not to continue with resuscitative measures, which led to the patient's death. Hence the relevance of this clinical case, the complexity and severity of this pathology can be seen, underlining the importance of early and aggressive management in cases of Fournier's gangrene, as well as the ethical decisions involved in the management of high-risk cases. complexity.