Proceso de atención de enfermería en paciente con síndrome de fournier

Abstract

Introduction: Currently, although the GF affects both genders: male and female and of all ages, it develops more frequently in people over 50 with a male to female ratio of 10 to 1. The associated risk factors they are: diabetes mellitus, HIV, alcoholism, advanced age, prolonged hospitalization, malignant diseases, malnutrition, obesity, hypertension and other conditions that affect the immune system. In Ecuador according to the INEC (2014) 36 cases were registered, according to statistics by the MSP (2016), there were 28 cases in total, of which, locally, in the Province of El Oro was presented 1 only case and with 8 deaths that same year. Case presentation: A 56-year-old male patient visited the emergency area of the IESS Machala General Hospital on 09/15/2018, reported a dry irritant cough, more tired for two weeks and a year ago with edema in the lower limbs. Vital Signs: PA: 102/88, T °: 37 ° C, FC: 68 lpm, FR: 20 rpm. Size: 1.56, Weight: 98.5 Kg. Laboratory tests: leukocytes:> 26 thousand mm3, neutrophils: 85%, urea: 114 (mg / dl), hemoglobin: 9.4g / dL, hematocrit: 27.6%, taking into account that is a person with a history of hypertension, DM type 2 and CKD, is discharged on 10/23/2018, however, comes again on 11/15/2018, for a reinfection of this disease, open wound in testicles with scarce yellowish discharge of bad smell; and once stabilized receives medical discharge on 12/7/2018. General Objective: To analyze the factors that influenced the presence of Fournier's syndrome of the inpatient in the IESS Machala General Hospital through the review of the clinical history and bibliographic search for the elaboration of nursing care plans.