Fournier's gangrene operation

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Spielzeug: Riesige Auswahl - Schnelle Lieferung Fournier's Gangrene Surgical Treatment. If diagnosis shows that Fournier's gangrene is definitely present, the dead tissues will be removed surgically (debridement). Having surgery earlier reduces the risk of the flesh or skin dying. During surgery, the skin is opened widely to expose all of the affected tissues. The dead tissue is cut out of the body Review of the cases suggests that the Fournier's gangrene is either an idiopathic condition or secondary to adjacent infection or the operation performed. The condition progresses rapidly but is usually self-limiting and most commonly confined to the genitalia. Adequate diagnosis is imperative and i Any patient with extensive necrosis or who is considered to have not be adequately debrided at the initial operation should be returned to the operating room in 24-48 hours for a second look. Further debridement should be repeated until the infection is controlled. Fournier's gangrene is nearly universally poly-microbial in origin Fournier gangrene is a urological emergency requiring intravenous antibiotics and debridement (surgical removal) of dead tissue. In addition to surgery and antibiotics, hyperbaric oxygen therapy may be useful and acts to inhibit the growth of and kill the anaerobic bacteria

Necrotizing Soft Tissue Infections - Infectious Disease

Fournier's Gangrene Treatments - Urologist

Fournier' s gangrene is an acute, rapidly pr ogressiv e, and potentially fatal, infective necrotizing fasciitis affecting the external genitalia, perineal or perianal regions, which commonly a ffects.. Fournier gangrene is necrotizing fasciitis of the perineum. It is a true urological emergency due to the high mortality rate but fortunately, the condition is rare. It is primarily a clinical diagnosis, and definitive treatment must not be delayed to perform imaging, which usually has an ancillary role 9 Results: Immediate broad-spectrum antibiotic therapy and urgent surgical debridement are the core managerial principles of Fournier's gangrene. The use of adjunctive therapies such as hyperbaric.. Fournier's Gangrene - Medical and Surgical Considerations, Gangrene - Current Concepts and Management Options, Dr. Alexander Vitin (Ed.), ISBN: 978-953-307-386-6, InTech, Available from: http://www.intechopen.com/books/gangrene-current-concepts-and-managementoptions/ fournier-s-gangrene-medical-and-surgical-considerations Klinisk beskrivnin

(a) Necrotic fields before the emergent debridement and

Fournier's Gangrene: Behandling, symtom och mer - 2021 Fournier's Gangrene: Behandling, symtom och mer Du kommer sannolikt att behöva flera operationer för att ta bort all den döda vävnaden och stoppa infektionen. Människor som bara behandlas med antibiotika och inte har debridering överlever sällan If Fournier's gangrene is suspected, stop the SGLT2 inhibitor and start treatment urgently (including antibiotics and surgical debridement). Fournier's gangrene is a rare but potentially life. Context: Fournier's gangrene is a necrotizing infection of the perianal region and scrotum. It progresses quite quickly and is fatal. Treatment involves debridement of the necrotized tissues, broad-spectrum antibiotherapy, and fluid replacement therapy. Delayed reconstruction can be planned after clinical stabilization Fournier's gangrene is characterized by high mortality rates, ranging from 15% to 50% and is an acute surgical emergency. The mainstay of treatment should be open drainage and early aggressive surgical debridement of all necrotic tissue, followed by broad-spectrum antibiotics therapy. 1 Fournier's Gangrene requires emergency treatment to kill the infection. If this is not done, the infection will continue to progress, leading to a large area of necrotic tissue. Treating Fournier's Gangrene. When Fournier's Gangrene is suspected, a patient should immediately be started on a strong course of antibiotics

Basic principles in treatment of Fournier's gangrene are comprised of initial resuscitation, broad-spectrum antibiotics therapy, and early aggressive debridement. In the management of presented case, aggressive debridement was made right after diagnosis and broad-spectrum antibiotics were given to the hemodynamically stable patient Fournier's gangrene involves an infection in the scrotum (which includes the testicles), penis, or perineum. The perineum is the area between the scrotum and anus for a man; or the area between. Fournier's Gangrene is a serious bacterial infection of the male genital region. It can lead to long-term complications such as the inability to pass faeces. If so, an ileostomy procedure may be required. Fournier's Gangrene. Fournier's Gangrene is when the necrotising fasciitis infection appears in the male genital region He was diagnosed as having Fournier's gangrene via perforation of rectal cancer, and urgent operation was performed. After debridement of the skin and soft tissue around the perineum, loop sigmoidostomy was performed. A nice granulated tissue bed over the perineum was formed via daily lavage with sarin Le traitement chirurgical de la gangrène de Fournier comprend deux phases : un premier temps chirurgical de débridement, puis un deuxième temps de cicatrisation. Le débridement chirurgical large doit être effectué en urgence, sans délai. Il est associé à des mesures réanimatoires

Fournier's gangrene treatment. The management of Fournier's gangrene is underscored by three main principles: rapid and aggressive surgical debridement of necrotized tissue, hemodynamic support with urgent resuscitation with fluids, and broad-spectrum parental antibiotics 56) The overall case fatality rate was 7.5%. Patients with Fournier's gangrene were rarely treated at hospitals (mean +/- SD 0.6 +/- 1.2 per year, median 0, range 0 to 23). Overall 0 to 4 and 5 or greater cases were treated at 66%, 17%, 10%, 4%, 1% and 1% of hospitals, respectively Fournier's gangrene is a form of necrotising fasciitis that affects the perineum. Risk factors include diabetes mellitus, excess alcohol, or poor nutritional state. Clinical features are often non-specific in the conditions early stages, before rapid deterioration occurs Fournier's Gangrene of Scrotal area, in diabetic patient, Extensive Debridement - Dr Narotam Dewan - YouTube. About Press Copyright Contact us Creators Advertise Developers Terms Privacy Policy.

Fournier's gangrene- Surgery 1. Fournier's gangrene By: DR Darayus P.Gazder 2. Fournier's gangrene • Definition • Etiology & risk factors • Pathogenesis & pathology • Incidence • Clinical features • Differential diagnosis • Investigations • Treatment - - Medical - Surgical • Complication A report states that incision and drainage were initially performed; this may be followed by colostomy if required, but in these reported cases due to the poor general condition of the patient, immediate operation could not be performed. 5 In addition, Chen also reported 3 that in patients with Fournier's gangrene due to anorectal disease, those who received a primary diverting colostomy had a. The diagnosis of Fournier's gangrene was made, and an intravenous cephalosporin and metronidazole were administered before proceeding to emergency partial scrotectomy. Operation revealed a 4 × 6-cm patch of gangrenous scrotal skin with inflammation of the right groin and suprapubic area Fournier gangrene, is a polymicrobial necrotizing fasciitis of the perineal, perianal, or genital areasDOWNLOAD FREE MEDICAL BOOKS HEREhttps://medcrine.comPa.. Fournier's gangrene (FG) is a life-threatening necrotising fasciitis of the perineal and genital region. Although Jean Alfred Fournier has been credited with first describing the condition in 1883 [1]; the first report of scrotal gangrene originates from a case described by Baurienne in 1764 [2,3]

Fournier's gangrene: a review of 110 cases for aetiology

  1. Aldiwani (218) Fournier's gangrene: A review of contemporary management priorities Glob Surg, 218 doi: 1.151S.118 Volume 4(1): 3-5 • If the scrotal tissues are removed, the testes can be protected initially in subcutaneous thigh pouch until definitive surgical reconstruction however this is NOT usually done at the first operation
  2. N2 - Ten patients with Fournier's gangrene were seen over an 11-month period; 3 had indwelling urethral catheters, 3 had preceding perineal infection and 6 had a history of alcohol abuse. An average of 2.1 operations was required per patient and the average hospital stay was 41 days
  3. Fournier's gangrene is a form of necrotising fasciitis that affects the perineum.Whilst rare, it is a urological emergency with a mortality rate of 20-40%*.. Necrotising fasciitis is a group of rapidly spreading necrosis of subcutaneous tissue and fascia, the term also encompassing Fournier's gangrene. Much of the principles for its management therefore hold true for Fournier's
  4. Fournier's gangrene is an acute, rapidly progressive, and potentially fatal, infective necrotizing fasciitis affecting the external genitalia, perineal or perianal regions, which commonly affects men, but can also occur in women and children. In 1764, Baurienne originally described an idiopathic, rapidly progressive soft-tissue necrotizing process that led to gangrene of the male genitalia
  5. Fournier gangrene is a type of necrotizing fasciitis or gangrene affecting the external genitalia or perineum.It commonly occurs in older men, but it can also occur in women and children. It is more likely to occur in diabetics, alcoholics, or those who are immunocompromised

Contemporary management of Fournier's gangrene - Global

Fournier's gangrene 1. Fournier's Gangrene: A Urologic Emergency You Don't Want to Miss! Angela Lou Reu, B.A., M.S., PA-C Emergency Care Consultants 2. Chief Complaint: Flu-like Symptoms HPI: The patient is a 43 y/o male with h/o DM, HTN, HLD, and obesity who presents to the ED with flu-like symptoms Gangrene can be a troublesome disease, but Fournier's gangrene is particularly worrisome. This type of gangrene attacks your genitals, so it is essential to see a doctor if you think you may. BAKGRUNDAkut debuterande skrotal smärta, med eller utan ömhet och svullnad, är en diagnostisk utmaning som kräver skyndsam handläggning. De vanligaste orsakerna (75-95 % av fallen) är: TestistorsionAkut epididymit/orkitTorsion av (Morgagnis) hydatidEftersom testistorsion kan leda till irreversibla ischemiska skador i testis måste tillståndet snabbt uteslutas eller bekräftas. Misstanke.

Fournier gangrene - Wikipedi

Fourniers patients have the need to undergo multiple surgeries to survive and one person had died from Fournier's Gangrene. Each of the patients that the agency identified as having the condition required surgery that resulted in amputation and permanent genital disfigurement 1. Introduction . Fournier's gangrene (FG) is an acute, rapidly progressive, and potentially fatal, infective necrotizing fasciitis affecting the external genitalia, perineal or perianal regions, which commonly affects men, but can also occur in women and children [].In 1764, Baurienne originally described an idiopathic, rapidly progressive soft-tissue necrotizing process that led to gangrene. Haut de pageIntroduction La gangrène de Fournier (GF) est une fascite nécrosante périnéale à développement rapidement progressif, dont l'issue est fatale dans 20 à 80 % des cas [1Eke N. Fournier's gangrene: a review of 1726 cases. Br J Surg 2000;87:718-28.Cliquez ici pour aller à la section Références]. Elle fut décrite en 1883 par Alfred de Fournier devant une gangrène Abstract: Fournier's gangrene (FG) is an uncommon form of necrotizing fasciitis, localized on the external genital organs, perianal region, and abdominal wall, accompanied by thrombosis of the feeding arteries, leading to gangrene of the skin and subcutaneous tissue, with manifestations of rapid clinical progression and multiple organ failure

Fournier's gangrene Related people. Jean Alfred Fournier; Progressive, synergetic, bacterial gangrene. Fulminating infection of the scrotum leading to gangrene and commonly associated with diabetes. May be spontaneous and usually follows trauma or operation. Does not involve testis Fourniers gangrene is a genital catastrophe with significant morbidity and mortality. We present a 57 year old patient with fournier's gangrene and perianal abscess Fournier's Gangrene is a specific form of necrotizing fasciitis that afflicts the perineum. Classically, it involves the penis and scrotum and is usually described in textbooks as a urological emergency. Jean Fournier was the eponymous French scientist who first described the disease in 1883 Fournier's gangrene is a rare, life threatening bacterial infection that affects genitals and predominantly occurs in men. It starts when bacteria invades the body through a cut or scratch on the.

(PDF) Fournier's Gangrene: Current Practice

Fournier's gangrene caused by penetration of a rectal cancer followed by neoadjuvant chemotherapy is very rare. We report this case with a review of the literature. CASE PRESENTATION: A 68-year-old man visited the emergency room due to perineal pain during which he accepted the chemotherapy for locally advanced rectal cancer to the operation room for incision of an ischiorectal abscess. During this procedure, a diagnosis of Fournier's gangrene (FG) was made, followed by an extended surgical debridement of all necrotic and infectious tissue. Purulent fluid was obtained and sent to the labora-tory for microbiological examination. Gram staining of the pu La gangrène de Fournier est une progression rapide, infection la destruction du tissu sur les parties génitales et les zones avoisinantes. Il est une urgence médicale qui peut être fatale sans traitement immédiat Fournier's gangrene involves the genital organs. Men are more often affected, but women also can develop this type of gangrene. An infection in the genital area or urinary tract causes this type of gangrene. Meleney's gangrene. This rare type of gangrene — also called progressive bacterial synergistic gangrene — is usually a complication of.

Fournier's gangrene complicating inflammatory bowel disease has been reported in three patients so far, two with Crohn's disease. A 78-year-old man diagnosed with ulcerative pancolitis was referred for fever, and painful perianal and scrotal swelling after perianal surgery for a horseshoe-type perianal abscess Fournier's gangrene is a rare but serious necrotizing soft tissue infection. At 66% of hospitals no patients with Fournier's gangrene were treated during the 2 study years and 5 or more patients per year were treated at only 1% of hospitals. The incidence of Fournier's gangrene was 1.6 cases per 100,000 IntroductionFournier's gangrene is an infective necrotizing fasciitis of the perineal, genital or perianal regions [1,2]. Although the French venereologist Jean Alfred Fournier gave the condition its eponymous name in 1883, Fournier's gangrene was first described by Baurienne over 100 years previously, in 1764 [1] Severe Fournier's gangrene—a conjoint challenge of gynaecology and plastic surgery M Wähmann, M Wähmann Since the patient's symptoms rapidly progressed, she was immediately taken to the operation theatre and a radical necrosectomy of the affected areas was performed Fournier's gangrene victims experience a frostbite-like blackening of the scrotum and penis resulting in the unmistakable stench of tissue death. There is no reversing Fournier's gangrene once it has taken hold. The emergency medical treatment entails debridement which is the removal of dead and damaged tissue leaving remaining healthy tissue

Fournier's gangrene is typically caused by one of three to four different kinds of bacteria. The bacteria damage blood vessels and produce toxins and enzymes that destroy tissue Fournier's gangrene (FG) is a fulminant form of infective necrotising fascitis of the perineal, or genital regions [1]. Comorbid conditions that compromise the immune system as diabetes mellitus and alcoholism have been implicated as predisposing factors for the development of FG [2] With Fournier's Gangrene, the flesh of the scrotum and penis become blackened by dead tissue requiring amputation or disfigurement to try and stay ahead of the fast-spreading condition. The bacteria that cause the disease can enter the body through any break in the skin or a rash which is common in elderly men that do not wash or fail to dry the area thoroughly after showering Fournier's gangrene is a necrotizing fasciitis of the genital and perineal region. It may progress, affecting the groin, the thigh, or even the abdominal wall. Despite adequate treatment (debridement and antibiotics), the mortality rate is very high, reaching 20-35%. Fournier's gangrene caused by penetration of a rectal cancer followed by neoadjuvant chemotherapy is very rare

Applying augmented reality to treat Fournier's gangrene in COVID-19 positive patients whilst safeguarding the multi-disciplinary surgical team: COVID-19 lead to a reduction in the number of operations performed under general anesthesia and hence limited the application

The most common sources of Fournier's gangrene arise from the gastrointestinal tract (30-50%), genitourinary tract (20-40%), and cutaneous injuries (20%). 6 Local trauma is frequently associated with the underlying source of infection. 6 Potential sources are provided in Table 2. 7,13,15,19,25-29 Special attention must be paid to insect bites, burns, and circumcision as sources of pediatric. Fournier's gangrene by the Simplified Fournier's Gangrene Severity Index. Methods: From 1989 to 2018, 118 male patients diagnosed with Fournier's gangrene with complete medical records were retrospectively reviewed. Patients' demographics, laboratory parameters at initial diagnosis, Fournier's Gangrene Severity Index an Fournier's Gangrene rague Medical Report ol 122 (2021) No 1, p 3944 Challenging Treatment of a Female Patient with Extensive Fournier's Gangrene - Case Report Ognen Kostovski 1, Olivera Spasovska, Gjorgji Trajkovski1, Svetozar Antovic1, Irena Kostovska2, Katerina Tosheska-Trajkovska2, Biljana Kuzmanovska3, Sofija Pejkova4, Nikola Jankulovski Fournier gangrene - a fulminant polymicrobial necrotizing fasciitis affecting the perineal or genital regions. Diabetes mellitus, alcoholism, male sex and immunosuppression are common predisposing factors; Fournier stressed that hallmarks of the gangrene were both the fulminant course and the unidentified source The Fournier's Gangrene Severity Index score at initial diagnosis was significantly higher in non‐survivors than in survivors. Of the nine parameters of Fournier's Gangrene Severity Index, the scores of serum creatinine level, hematocrit level and serum potassium level were significantly different between the two groups

Fournier's gangrene (FG) is an infrequent yet rapidly advancing, life-threatening necrotizing soft tissue infection (NSTI). Even Hippocrates, in the earliest known written description of NSTIs, singles out FG's particularly devastating effects, writing But the most dangerous cases of all cases were when the pubes and genital organs were attacked. 1 The eponym is assigned to Jean. Fournier's Gangrene Treatment. Treatment for Fournier's gangrene starts with antibiotics, followed by debridement of the dying skin. These may also be paired with hyperbaric oxygen therapy. Depending on the aggressiveness of the gangrene, amputation may be required. References Discussion. Fournier's gangrene is a fulminant aerobic and anaerobic necrotizing infection starting from the perineal and genital regions and spreading rapidly over the fascial planes into the inguinal area, thigh and abdominal wall [].In the pre-antibiotic era the disease was commonly fatal and today it still carries a significant risk of morbidity and death [1, 2]

Abstract. Introduction: Fournier's gangrene is a rare polymicrobial necrotizing fasciitis of the perineal and perianal regions, found to be associated with colorectal diseases and urogenital operations. We present here a difficult management of a patient presented with Fournier's gangrene associated with undiagnosed Ulcerative colitis Fournier JA. Gangrene foudroyante de la verge. Republished in Diseases of the colon and rectum, 1988; Shyam DC, Rapsang AG. Fournier's gangrene. The Surgeon, journal of the royal colleges of surgeons of Edinburgh and Ireland, 201 Fournier's Gangrene. A 1995 study of 39 patients evaluated the risk factors for Fournier's gangrene and established a severity index: (1) (1) Laor, Eliahu, et al. Outcome Prediction in Patients with Fournier's Gangrene. The Journal of Urology, vol. 154, no. 1, 1995, pp. 89-92. Proudly powered by Weebly

Fournier gangrene Radiology Reference Article

Fournier's gangrene is an acute, rapidly progressive, and potentially fatal, infective necrotizing fasciitis affecting the external genitalia, perineal or perianal regions, which commonly affects men, but can also occur in women and children. There has been an increase in number of cases in recent times. Despite advanced management mortality is still high and averages 20-30% Fournier's gangrene is an infectious necrotizing fasciitis of the perineum and genital regions and has a high mortality rate. It is a synergistic infection caused by a mixture of aerobic and anaerobic organisms and predisposing factors, including diabetes mellitus, alcoholism, malnutrition, and low socioeconomic status. We report a case of Fournier's gangrene in a patient with unknown type. Fournier gangrene is a severe infection of the penis and surrounding areas. The cause of Fournier gangrene is usually an underlying infection, such as a urinary tract infection. People with compromised immune systems and existing chronic diseases like diabetes are more likely to develop Fournier gangrene Fournier's gangrene is a progressive soft tissue infection of the perineal and scrotal region. CASE REPORT: A 50-year-old man was transferred to our hospital with clinical signs of septic shock and necrotizing soft tissue infection, of the scrotal and perianal regions Fournier's Gangrene Harvey's condition was the result of an infection that resulted in Weinstein being medevaced out of St. Barts Hospital in 1999. ' At the time, Harvey blamed something he ate

Fournier's Gangrene will rapidly spread if misdiagnosed and left untreated. An elderly Florida diabetic nursing home patient recently died from necrotizing fasciitis of the genitals thought to be Fournier's Gangrene. Those taking a type of diabetes medication called an SGLT2 blocker are at the greatest risk Introduction. Fournier's gangrene (FG) is a rare but fulminant form of infective necrotising fasciitis affecting the perineum and external genitalia, which can rapidly progress along fascial planes.It most commonly affects men, but can occur in women and children, with a male to female ratio of 5:1 [1] Fournier's gangrene (FG) can be defined as a rapidly progressive polymicrobial necrotising fasciitis of the perineal, genital and/or perianal areas, leading to gangrene and necrosis of tissues and a concomitant systemic sepsis 1,2.Fournier's Gangrene is an urological emergency and if it is not diagnosed and treated promptly could be a life-threatening condition 3 Introduction . Necrotizing fasciitis (NF) is a devastating soft tissue disease causing fulminant clinical deterioration, and extension into the retroperitoneum has a high mortality rate. This disease process demands a strong clinical suspicion for early identification which must be coupled with frequent wide surgical debridements and intravenous antibiotics for improved outcomes

(PDF) Fournier's gangrene

Fournier gangrene is an emergency condition that is associated with a high mortality rate. It is defined as a rapidly progressing infective necrotizing fasciitis of the perineal, perianal, and genital regions. Early diagnosis, broad-spectrum antibiotic coverage, and adequate surgical debridement are crucial and lead to better prognosis and patient survival Fournier's gangrene. Vojnosanitetski pregled, 2008. Vladimir Bancevic. Branko Kosevic. Vladimir Bancevic. Branko Kosevic. Download PDF. Download Full PDF Package. This paper. A short summary of this paper. 37 Full PDFs related to this paper. READ PAPER To describe the clinical characteristics and management for Fournier's gangrene. Experience summary and literature references are provided for future treatment improvement. We retrospectively reviewed the cases diagnosed with Fournier's gangrene in our department from June 2016 to June 2019. Clinical data, including manifestation, diagnosis, treatment and outcomes for Fournier's gangrene.

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Fourniers gangrän - Björgells Akuta sjukdomar och skado

Fournier's gangrene is a localized necrotizing fasciitis accompanied by pain, swelling, and erythema of the perineum and genitalia. Unfortunately, unclear symptoms at the first stages can delay the patient from seeking medical attention, leading to a late diagnosis and treatment that has an increased risk of morbidity and mortality Fournier's gangrene is a serious condition that rapidly kills soft tissues, including muscles, nerves and blood vessels. Early symptoms will begin within 24 hours of being infected and often start with a general feeling of being unwell. Sufferers may also notice pain or swelling in the genital area Background. Fournier's gangrene (FG) is a rarely encountered necrotizing fasciitis principally affecting skin and subcutaneous tissues of the genital region, perineum, and abdominal wall. The overall incidence of FG is 1.6 cases per 100 000 per year; the incidence in males is higher. Management techniques described in the literature have both advantages and disadvantages, and there is no. Fournier gangrene * * * Introduction Gangrene affecting the male genitalia * Aetiology Anorectal causes: Colorectal injury Infection of the perianal glands Urethral - A free PowerPoint PPT presentation (displayed as a Flash slide show) on PowerShow.com - id: 4d4907-ZThl Fournier's gangrene is necrotizing fasciitis involving the penis, scrotum, or perineal region. This condition is associated with a high mortality rate and requires aggressive debridement of necrotic tissues. It is mainly seen in elderly, immune-suppressed, diabetic patients, or patients with long-term urinary catheterization. Isolated penile involvement is very rare due to the rich blood.

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Fournier's Gangrene is a fulminating necrotizing fasciitis of the perineum and genitalia. Standard treatment involves immediate excision of all necrotic tissue, aggressive antibiotic coverage, and supportive medical care. Still, the infection is commonly fatal or disfiguring Background . The U.S. Food and Drug Administration (FDA) released a safety warning of Fournier gangrene (FG), a rare but serious adverse effect of sodium-glucose cotransporter-2 (SGLT2) inhibitors in August 2018. However, existing studies have focused mainly on individual FG case reports. Although several previous studies conducted reviews of cases, objective scientific analysis was not. Fournier's gangrene is a type of necrotizing fasciitis (usually type 1) of the genital, perianal, and perineal regions than can rapidly extent to the lower extremities or abdomen. 3-4 The most commonly reported etiology is an anal/perineal abscess in patients with underlying uncontrolled diabetes, but has also been described to be secondary to thrombosed hemorrhoids or strangulated. Fournier's gangrene or genital gangrene as it's often referred to develops when bacteria gets into the system from a tear or cut in the skin. It will spread quickly and destroys any tissue it comes into contact with. People who have diabetes are already more susceptible to gangrene because of a lower immunity system and reduced blood flow

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