Keyword: Hyperlactatemia
1 result found.
Case Report
Australian Journal of Biomedical Research, 2(2), 2026, aubm019, https://doi.org/10.63946/aubiomed/18513
ABSTRACT:
Fournier’s gangrene (FG) is a rapidly progressive necrotizing soft tissue infection associated with high mortality, particularly in patients with diabetes mellitus. Early recognition and immediate surgical source control are critical determinants of survival.
We report the case of a 62-year-old male with long-standing type 2 diabetes mellitus who presented with rapidly progressive perineal necrosis complicated by systemic inflammatory response and severe metabolic derangement, including hyperlactatemia (7.3 mmol/L) and metabolic acidosis.
Emergency radical surgical debridement was performed within hours of admission, followed by intensive multidisciplinary management. Despite high predicted mortality risk based on clinical and laboratory parameters, the patient demonstrated favorable clinical recovery with wound healing by secondary intention.
This case highlights the potential limitation of traditional scoring systems and emphasizes the prognostic role of hyperlactatemia as an early indicator of tissue hypoperfusion requiring immediate surgical intervention.
We report the case of a 62-year-old male with long-standing type 2 diabetes mellitus who presented with rapidly progressive perineal necrosis complicated by systemic inflammatory response and severe metabolic derangement, including hyperlactatemia (7.3 mmol/L) and metabolic acidosis.
Emergency radical surgical debridement was performed within hours of admission, followed by intensive multidisciplinary management. Despite high predicted mortality risk based on clinical and laboratory parameters, the patient demonstrated favorable clinical recovery with wound healing by secondary intention.
This case highlights the potential limitation of traditional scoring systems and emphasizes the prognostic role of hyperlactatemia as an early indicator of tissue hypoperfusion requiring immediate surgical intervention.
