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Year : 2016  |  Volume : 8  |  Issue : 3  |  Page : 343-347

Is hemoglobin A1c level effective in predicting the prognosis of Fournier gangrene?

1 Department of Urology, Gaziantep University, Gaziantep, Turkey
2 Department of General Surgery, Gaziantep University, Gaziantep, Turkey
3 Department of Plastic and Reconstructive Surgery, Gaziantep University, Gaziantep, Turkey

Correspondence Address:
Haluk Sen
Department of Urology, University of Gaziantep, School of Medicine, Gaziantep 27310
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DOI: 10.4103/0974-7796.184905

PMID: 27453658

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Objectives: To evaluate the effect of immune failure and/or diabetes mellitus (DM) association on the mortality and morbidity of the Fournier's Gangrene (FG), and interrelatedly, the usability of HbA1c level in the prediction of prognosis. Materials and Methods: The data of 38 patients with the diagnosis of FG were investigated retrospectively. The patients were divided into two groups as patients with DM (Group 1, n = 18) and non-diabetics (Group 2, n = 20). The patients in group 1 were also divided into two subgroups as patients with HbA1c value ≥7 (Group 1a) and HbA1c value <7 (Group 1b). Results: The mean age of all 38 male patients was 66.3 ± 6.4 years. The initial symptoms were scrotal rash and swelling (n = 20, 52.6%), high fever (>38°C) (n = 22, 57.8%), purulent discharge from genital or perineal areas (n = 13, 34.2%), skin bruises (n = 11, 28.9%) and general state disorder in five patients that were admitted from day care center (13.1%). DM, as the most often comorbid disease, was detected in 18 patients (47.3%). Six patients (15.7%) were deceased during the follow-up period. Conclusion: In the present study, the researchers determined that diabetic patients with HbA1c level of 7 or higher had worse prognosis, and increased mortality.

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