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)This case report describes a 69-year-old male patient with a history of chronic kidney disease and type 2 diabetes mellitus who was admitted to the ICU with a diagnosis of soft tissue sepsis secondary to Fournier's gangrene, despite a one-month history of hemorrhoids. Following a physical examination revealing necrosis in the perineum and anus, a colostomy and debridement were performed immediately. In the ICU, the patient developed severe complications including septic shock, hemodynamic instability, acute respiratory failure, and acute on chronic renal failure, requiring vasoactive support, mechanical ventilation, and renal replacement therapy. Despite intensive management, the condition deteriorated, and following cardiopulmonary arrest and subsequent neurological decline, the patient passed away after the family decided to withhold further resuscitation. This case highlights the complexity and severity of Fournier's gangrene, the necessity of early and aggressive management, and the ethical considerations in high-complexity cases.