{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T08:54:14Z","timestamp":1777712054915,"version":"3.51.4"},"reference-count":5,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2019,1,8]],"date-time":"2019-01-08T00:00:00Z","timestamp":1546905600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"the National Science Foundation of China","award":["81401590"],"award-info":[{"award-number":["81401590"]}]},{"name":"the National Science Foundation of China","award":["81772078"],"award-info":[{"award-number":["81772078"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The International Journal of Lower Extremity Wounds"],"published-print":{"date-parts":[[2019,3]]},"abstract":"<jats:p>Fournier\u2019s gangrene is a rare, rapidly progressing, and life-threatening infection associated with necrotizing fasciitis in the perineal, genital, and\/or lower abdominal regions. Septic shock and multiple organ dysfunction syndrome due to the condition are even rarer events. We describe the case of a 58-year-old man who visited the emergency department with severely painful swelling in the scrotal, perianal, and lower abdominal regions. Physical examination combined with computed tomography and clinical findings led to the diagnosis of Fournier\u2019s gangrene with septic shock and multiple organ dysfunction syndrome. Broad-spectrum antibiotics, fluid resuscitation, sedative administration, and several surgeries that included perineum reconstruction were performed successfully, and the patient fully recovered. Comprehensive, timely treatments are critical for treating Fournier\u2019s gangrene.<\/jats:p>","DOI":"10.1177\/1534734618818685","type":"journal-article","created":{"date-parts":[[2019,1,8]],"date-time":"2019-01-08T17:49:25Z","timestamp":1546969765000},"page":"94-96","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":8,"title":["Fournier\u2019s Gangrene With Septic Shock and Multiple Organ Dysfunction Syndrome"],"prefix":"10.1177","volume":"18","author":[{"given":"Zengding","family":"Zhou","sequence":"first","affiliation":[{"name":"Ruijin Hospital, Shanghai Jiaotong University, Shanghai, People\u2019s Republic of China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Feng","family":"Guo","sequence":"additional","affiliation":[{"name":"Affiliated Sixth People\u2019s Hospital of Shanghai, Shanghai Jiaotong University, Shanghai, People\u2019s Republic of China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jingning","family":"Huan","sequence":"additional","affiliation":[{"name":"Ruijin Hospital, Shanghai Jiaotong University, Shanghai, People\u2019s Republic of China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2019,1,8]]},"reference":[{"key":"bibr1-1534734618818685","doi-asserted-by":"crossref","first-page":"984","DOI":"10.1007\/BF02554904","volume":"31","author":"Fournier JA.","year":"1988","journal-title":"Dis Colon Rectum"},{"key":"bibr2-1534734618818685","doi-asserted-by":"publisher","DOI":"10.4081\/aiua.2016.3.157"},{"key":"bibr3-1534734618818685","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMicm1609306"},{"key":"bibr4-1534734618818685","doi-asserted-by":"publisher","DOI":"10.2214\/AJR.18.19683"},{"key":"bibr5-1534734618818685","doi-asserted-by":"publisher","DOI":"10.1177\/1756287215584740"}],"container-title":["The International Journal of Lower Extremity Wounds"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1534734618818685","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1534734618818685","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1534734618818685","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T10:04:04Z","timestamp":1777457044000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1534734618818685"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,1,8]]},"references-count":5,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2019,3]]}},"alternative-id":["10.1177\/1534734618818685"],"URL":"https:\/\/doi.org\/10.1177\/1534734618818685","relation":{},"ISSN":["1534-7346","1552-6941"],"issn-type":[{"value":"1534-7346","type":"print"},{"value":"1552-6941","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,1,8]]}}}