A Case Study of Fourniers Gangrene with a Report on Septicaemia Induced Acute Heart Failure with Elevated Trop I

Abstract

Cardiovascular disease incidence after sepsis is one of the emerging health issues, especially among vulnerable older adults. In Hospital admitted patient morbidity and mortality review, sepsis induced acute heart failure is a great contribution which we sometimes overlook. 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. This study concludes that infection induced acute heart failure should kept in mind in treating sepsis. Elevated trop I is always not the cause of acute MI in sepsis.