Asian Journal of Case Reports in Medicine and Health

Septicaemia Induced Acute Heart Failure with Elevated Trop I: A Case Report in Fourniers Gangrene

Chishti Tanhar Bakth Choudhury *

Department of Surgery, Shaheed Mansur Ali Medical College, Bangladesh.

Md. Sumon Rahman

Department of Surgery, Shaheed Mansur Ali Medical College, Bangladesh.

*Author to whom correspondence should be addressed.

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Abstract

A 42 yrs Diabetic, H/O healthy cardiac status male patient presented as scrotal abscess admitted in surgery ward and debridement done as a case of Fourniers gangrene under regional anaesthesia. Patient had symptoms of cough, dyspnoea, frothy secretions, high color urine and episodes of desaturation preoperatively. 4 hours following debridement patient develops marked dyspnoea, chest heaviness with increased frothy secretions and shifted to intensive care unit. In critical care comprehensive management patient symptomatically improved after 3 days of ICU care and shifted to ward.

Keywords: Acute heart failure, severe sepsis, elevated trop I, fourniersgangrene

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