sodium-hypochlorite and Gangrene

This overview was put together to update the endodontic knowledge of the general practitioners. Several treatment methods sometimes with contradicting principles are applied in Hungary using a wide range of endodontic medicines. The aim of the paper was not only to clarify the basic therapeutic principles but also to provide practical information about the relevant endodontic products for the everyday use.

Topics: Adrenal Cortex Hormones; Anti-Bacterial Agents; Anti-Infective Agents; Calcium Hydroxide; Chloramphenicol; Dental Pulp; Dental Pulp Diseases; Disinfectants; Edetic Acid; Formaldehyde; Gangrene; Humans; Metronidazole; Penicillins; Phenol; Polymers; Root Canal Therapy; Sodium Hypochlorite; Tetracyclines

Six children aged between 3 and 12 weeks were treated for Fournier's syndrome in our hospital between 1972 and 1979. Circumcision, diaper rash, and perianal skin abscesses were suspected as portals of entry for pathogens initiating the lesions. In two cases Staphylococcus aureus was isolated. Medical treatment of the gangrenous area proved successful in all cases, and the children survived with no appreciable scrotal skin loss or adhesions. Our results confute the approach of previous workers, most of whom have advocated aggressive surgical management in a devastating illness like Fournier's gangrene.

Topics: Anti-Bacterial Agents; Anti-Infective Agents; Borates; Gangrene; Genital Diseases, Male; Humans; Infant; Male; Scrotum; Sodium Hypochlorite; Syndrome

Topics: Camphor; Chlorophenols; Drug Combinations; Gangrene; Sodium Hypochlorite; Tooth