{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,28]],"date-time":"2026-05-28T10:08:51Z","timestamp":1779962931991,"version":"3.53.1"},"reference-count":10,"publisher":"Charles University in Prague, Karolinum Press","issue":"3","license":[{"start":{"date-parts":[[2014,11,22]],"date-time":"2014-11-22T00:00:00Z","timestamp":1416614400000},"content-version":"vor","delay-in-days":690,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2014,11,22]],"date-time":"2014-11-22T00:00:00Z","timestamp":1416614400000},"content-version":"tdm","delay-in-days":690,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Prague Med. Rep."],"published-print":{"date-parts":[[2013]]},"abstract":"<jats:p>\n                    We present a \u202fcase of Fournier\u2019s gangrene disease in\u202f a young obese patient with coexistent B-lymphoma. It remains controversial if obesity constitutes a \u202fpredisposing factor for an individual to develop necrotizing fasciitis. On the other hand, only few cases of patients with coexistence of B-lymphoma and Fournier\u2019s gangrene disease have been reported. \u2009A 30-years-old obese man was admitted to emergency department with fever (38.7 \u00b0C), pain, erythema and swelling extended from the left scrotum to the left lower abdominal quadrant. He was confused, with low urinary excretion and septic shock\u2019s signs. The clinical findings were characteristics of Fournier\u2019s gangrene disease. Furthermore during physical examination a\u202f massive, painless and motionless mass in \u202fthe left breast was revealed. The patient required urgent surgical debridement of the affected area and pus drainage. Biopsies of the breast mass were received by excision. Pus and blood cultures yielded\n                    <jats:italic>Staphylococci<\/jats:italic>\n                    coagulase(\u2013),\n                    <jats:italic>Klebsiella<\/jats:italic>\n                    and\n                    <jats:italic>Proteus<\/jats:italic>\n                    sp. Intravenous antibiotic treatment with Meropeneme and Clindamycine started immediately. Repeated debridement was often performed. Pathology examination of the massive tissue revealed a\u202f diffuse B-lymphoma of large cells (Germinal center B-cell like-GCB). The patient was discharged from the hospital 35 days later. \u2009Afterwards, he was treated with chemotherapeutic agents for malignant lymphoma at the oncological department. The aim of this case\u2019s presentation is to mention that young obese patients with Fournier\u2019s gangrene disease should be particularly investigated due to the possible occurrence of another not obvious predisposing factor, such as a \u202fmalignant disease.\n                  <\/jats:p>","DOI":"10.14712\/23362936.2014.22","type":"journal-article","created":{"date-parts":[[2014,11,28]],"date-time":"2014-11-28T09:52:08Z","timestamp":1417168328000},"page":"186-190","source":"Crossref","is-referenced-by-count":2,"title":["Fournier\u2019s Gangrene in a Patient with Obesity and B-lymphoma"],"prefix":"10.14712","volume":"114","author":[{"given":"Christos","family":"Komninos","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Karavitakis","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.","family":"Koritsiadis","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"5727","published-online":{"date-parts":[[2014,11,22]]},"reference":[{"key":"23362936.2014.22_1","doi-asserted-by":"crossref","first-page":"31","DOI":"10.1016\/S0090-4295(00)00604-X","volume":"56","author":"Dahm","year":"2000","journal-title":"Urology"},{"key":"23362936.2014.22_2","doi-asserted-by":"crossref","first-page":"718","DOI":"10.1046\/j.1365-2168.2000.01497.x","volume":"87","author":"Eke","year":"2000","journal-title":"Br. 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Colon Rectum"},{"key":"23362936.2014.22_10","first-page":"735","volume":"46","author":"Yumura","year":"2000","journal-title":"Hinyokika Kiyo"}],"container-title":["Prague Medical Report"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/pmr.lf1.cuni.cz\/media\/pdf\/pmr_2013114030186.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/pmr.lf1.cuni.cz\/media\/pdf\/pmr_2013114030186.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,28]],"date-time":"2026-05-28T09:37:30Z","timestamp":1779961050000},"score":1,"resource":{"primary":{"URL":"https:\/\/pmr.lf1.cuni.cz\/114\/3\/0186\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013]]},"references-count":10,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2013]]}},"alternative-id":["pmr_2013114030186"],"URL":"https:\/\/doi.org\/10.14712\/23362936.2014.22","relation":{},"ISSN":["1214-6994","2336-2936"],"issn-type":[{"value":"1214-6994","type":"print"},{"value":"2336-2936","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013]]}}}