<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1727-897X</journal-id>
<journal-title><![CDATA[MediSur]]></journal-title>
<abbrev-journal-title><![CDATA[Medisur]]></abbrev-journal-title>
<issn>1727-897X</issn>
<publisher>
<publisher-name><![CDATA[Universidad de Ciencias Médicas de Cienfuegos, Centro Provincial de Ciencias Médicas, Provincia de Cienfuegos.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1727-897X2022000300515</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Estudio clínico-epidemiológico sobre gangrena de Fournier en un hospital de Luanda. Enero de 2016 a diciembre de 2021]]></article-title>
<article-title xml:lang="pt"><![CDATA[Clinical-epidemiological study on Fournier's gangrene in a Luanda hospital. From January 2016 to December 2021]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Lombardo Vaillant]]></surname>
<given-names><![CDATA[Tomás Ariel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Militar Principal. Instituto Superior. Luanda  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>República de Angola</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2022</year>
</pub-date>
<volume>20</volume>
<numero>3</numero>
<fpage>515</fpage>
<lpage>526</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1727-897X2022000300515&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1727-897X2022000300515&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1727-897X2022000300515&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Fundamento:  la gangrena de Fournier es una infección polimicrobiana grave ocasionada por microorganismos que actúan de modo sinérgico y determinan una fascitis necrosante progresiva en escroto y periné con manifestaciones de sepsis que pueden evolucionar a choque séptico y fallo de órganos.  Objetivo: caracterizar clínica e epidemiológicamente la gangrena de Fournier en pacientes diagnosticados en una unidad hospitalaria de referencia.  Métodos: estudio retrospectivo, observacional y descriptivo a partir del análisis de los expedientes clínicos de 64 pacientes masculinos con gangrena de Fournier, diagnosticados en el Hospital Militar Principal/Instituto Superior de Luanda, República de Angola de enero de 2016 a diciembre de 2020. Las variables de estudio fueron: edad, hábitos tóxicos, comorbilidad, manifestaciones clínicas, extensión, localización así como su evolución. Las variables cuantitativas fueron expresadas en medias, mediana y rango, mientras que las variables cualitativas se expresaron en términos de números absolutos y porcentajes.  Resultados  la edad promedio fue 45,09 años; 36 pacientes (56,2 %) consumen bebidas alcohólicas y 14 (21,87 %) declararon hábitos tabáquicos. La principal comorbilidad fue la diabetes mellitus en 21(32,8 %). El dolor con aumento de volumen del escroto predominó en 43(67,2 %) sujetos; el desbridamiento quirúrgico precoz con antibióticoterapia fue la clave de manejo. Fallecieron cinco pacientes.  Conclusiones: la gangrena de Fourner es una enfermedad grave que puede presentar repercusión sistémica y muerte. La piedra angular en el tratamiento es el desbridamiento quirúrgico precoz apoyado en medidas de soporte. La serie presentada mostró un manejo multidisciplinario adecuado y eficaz.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[ABSTRACT  Background: Fournier's gangrene is a serious polymicrobial infection caused by microorganisms that act synergistically and determine a progressive necrotizing fasciitis in the scrotum and perineum with manifestations of sepsis that can progress to septic shock and organ failure.  Objective: to characterize clinically and epidemiologically Fournier's gangrene in patients diagnosed in a reference hospital unit.  Methods: retrospective, observational and descriptive study based on the analysis of the clinical records of 64 male patients with Fournier's gangrene, diagnosed at the Hospital Militar Principal/Instituto Superior de Luanda, Republic of Angola from January 2016 to December 2020. Study variables were: age, toxic habits, comorbidity, clinical manifestations, extension, location as well as its evolution. The quantitative variables were expressed as means, median and range, while the qualitative variables were expressed in terms of absolute numbers and percentages.  Results: the average age was 45.09 years; 36 patients (56.2%) consume alcoholic drink and 14 (21.87%) declared smoking habits. The main comorbidity was diabetes mellitus in 21 (32.8%). Pain with increased scrotal volume predominated in 43 (67.2%) subjects; early surgical debridement with antibiotic therapy was the key to management. Five patients died.  Conclusions: Fourner's gangrene is a serious disease that can present systemic repercussions and death. The cornerstone of treatment is early surgical debridement supported by support measures. The series presented showed adequate and effective multidisciplinary management.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[gangrena de Fournier]]></kwd>
<kwd lng="es"><![CDATA[epidemiología descriptiva]]></kwd>
<kwd lng="es"><![CDATA[diagnóstico clínico]]></kwd>
<kwd lng="es"><![CDATA[Angola]]></kwd>
<kwd lng="pt"><![CDATA[Fournier gangrene]]></kwd>
<kwd lng="pt"><![CDATA[epidemiology, descriptive]]></kwd>
<kwd lng="pt"><![CDATA[clinical diagnosis]]></kwd>
<kwd lng="pt"><![CDATA[Angola]]></kwd>
</kwd-group>
</article-meta>
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