Case Report
Copyright ©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Oct 26, 2023; 11(30): 7398-7402
Published online Oct 26, 2023. doi: 10.12998/wjcc.v11.i30.7398
Fournier gangrene in an infant, complicated with severe sepsis and liver dysfunction: A case report
Ilirjana Bakalli, Saimir Heta, Ermira Kola, Ermela Celaj
Ilirjana Bakalli, Ermira Kola, Ermela Celaj, Department of Pediatrics, UHC “Mother Theresa”, Tirana 1024, Albania
Saimir Heta, Department of Pediatric Surgery, UHC “Mother Theresa”, Tirana 1024, Albania
Author contributions: Bakalli I conceptualized, supervised data collection, drafted the initial manuscript, and corrected the final English version; Heta S and Celaj E contributed to the acquisition of data; Kola E revised the manuscript; and all authors have read and approved the manuscript critically.
Informed consent statement: The present manuscript used anonymous images to produce its analyzes and results, in a method that obeys the norms of medical bioethics. Thus, there was no direct or even indirect contact between researchers and patients, with no necessity for “Signed Informed Consent Form” to carry out our study.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Ilirjana Bakalli, PhD, Associate Professor, Department of Pediatrics, UHC “Mother Theresa”, Rruga e Dibres, 376, Tirana 1024, Albania. ilirjanabakalli@yahoo.com
Received: July 2, 2023
Peer-review started: July 2, 2023
First decision: July 28, 2023
Revised: August 9, 2023
Accepted: September 6, 2023
Article in press: September 6, 2023
Published online: October 26, 2023
Core Tip

Core Tip: This is a case report of an infant with Fournier gangrene. Despite its rarity, Fournier gangrene remains a disease with severe complications and high mortality. The prognosis is influenced by the timing of medical treatment. Despite receiving optimal antibiotic and supportive care after hospital admission, the patient developed sepsis with severe liver damage, making treatment more challenging. The prognosis to sepsis and liver dysfunction was influenced by delayed diagnosis. Through this case report we highlight the importance of early recognition and high clinical suspicion by all doctors (pediatricians, dermatologist, surgeons, etc.), to make an accurate diagnosis.