{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,1]],"date-time":"2025-11-01T05:42:47Z","timestamp":1761975767666,"version":"3.44.0"},"reference-count":6,"publisher":"Elsevier BV","issue":"8","license":[{"start":{"date-parts":[[2020,8,1]],"date-time":"2020-08-01T00:00:00Z","timestamp":1596240000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2020,8,1]],"date-time":"2020-08-01T00:00:00Z","timestamp":1596240000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["amjmed.com","clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["The American Journal of Medicine"],"published-print":{"date-parts":[[2020,8]]},"DOI":"10.1016\/j.amjmed.2019.11.028","type":"journal-article","created":{"date-parts":[[2020,1,9]],"date-time":"2020-01-09T11:20:36Z","timestamp":1578568836000},"page":"924-925","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":6,"title":["Beware of Perianal Pain: Fournier Gangrene"],"prefix":"10.1016","volume":"133","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1120-1230","authenticated-orcid":false,"given":"Teiko","family":"Kawahigashi","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takashi","family":"Kawabe","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hirokazu","family":"Iijima","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mutsuo","family":"Takagi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yuma","family":"Suno","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tomohiro","family":"Noda","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kazunao","family":"Watanabe","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"78","reference":[{"key":"10.1016\/j.amjmed.2019.11.028_bib0001","doi-asserted-by":"crossref","first-page":"516","DOI":"10.1136\/pgmj.2005.042069","article-title":"Fournier's gangrene and its emergency management","volume":"82","author":"Thwaini","year":"2006","journal-title":"Postgrad Med J"},{"key":"10.1016\/j.amjmed.2019.11.028_bib0002","doi-asserted-by":"crossref","first-page":"718","DOI":"10.1046\/j.1365-2168.2000.01497.x","article-title":"Fournier's gangrene a review of 1726 cases","volume":"87","author":"Eke","year":"2000","journal-title":"Br J Surg"},{"key":"10.1016\/j.amjmed.2019.11.028_bib0003","doi-asserted-by":"crossref","first-page":"89","DOI":"10.1016\/S0022-5347(01)67236-7","article-title":"Outcome prediction in patients with Fournier's gangrene","volume":"154","author":"Laor","year":"1995","journal-title":"J Urol"},{"key":"10.1016\/j.amjmed.2019.11.028_bib0004","doi-asserted-by":"crossref","first-page":"e119","DOI":"10.1002\/bjs.9371","article-title":"Early diagnosis of necrotizing fasciitis","volume":"101","author":"Goh","year":"2014","journal-title":"Br J Surg"},{"key":"10.1016\/j.amjmed.2019.11.028_bib0005","doi-asserted-by":"crossref","first-page":"926","DOI":"10.1016\/j.amjsurg.2008.07.025","article-title":"Low sensitivity of physical examination findings in necrotizing soft tissue infection is improved with laboratory values: a prospective study","volume":"196","author":"Chan","year":"2008","journal-title":"Am J Surg"},{"key":"10.1016\/j.amjmed.2019.11.028_bib0006","first-page":"1042","article-title":"Flaws in clinical reasoning: a common cause of diagnostic error","volume":"84","author":"Wellbery","year":"2011","journal-title":"Am Fam Physician"}],"container-title":["The American Journal of Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0002934320300061?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0002934320300061?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,9,11]],"date-time":"2025-09-11T09:20:12Z","timestamp":1757582412000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0002934320300061"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,8]]},"references-count":6,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2020,8]]}},"alternative-id":["S0002934320300061"],"URL":"https:\/\/doi.org\/10.1016\/j.amjmed.2019.11.028","relation":{},"ISSN":["0002-9343"],"issn-type":[{"type":"print","value":"0002-9343"}],"subject":[],"published":{"date-parts":[[2020,8]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Beware of Perianal Pain: Fournier Gangrene","name":"articletitle","label":"Article Title"},{"value":"The American Journal of Medicine","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.amjmed.2019.11.028","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"simple-article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2020 Elsevier Inc. All rights reserved.","name":"copyright","label":"Copyright"}]}}