Fournier’s gangrene (FG) is a rare but life-threatening bacterial infection affecting the genital and perianal areas, often associated with high morbidity and mortality rates. Although pressure sores, injuries caused by prolonged pressure on the skin, are considered a risk factor for FG, they are rarely the direct cause of the condition. This case report presents a 65-year-old male with paraplegia and a chronic ischial pressure sore who presented with FG. The patient was treated with prompt surgical debridement and antibiotic therapy, followed by wound reconstruction using a local advancement flap. This enabled a successful outcome, with no further wound issues observed for 6 months. Early diagnosis, imaging modalities, prompt surgical intervention, and appropriate antibiotic therapy are essential for the successful management of FG. This case emphasizes the importance of recognizing the possibility of FG arising from pressure sores and highlights the critical role of early surgical intervention.

Fournier’s gangrene (FG) is a rare but life-threatening bacterial infection affecting the genital and perianal areas, often associated with high morbidity and mortality rates. Although pressure sores, injuries caused by prolonged pressure on the skin, are considered a risk factor for FG, they are rarely the direct cause of the condition. This case report presents a 65-year-old male with paraplegia and a chronic ischial pressure sore who presented with FG. The patient was treated with prompt surgical debridement and antibiotic therapy, followed by wound reconstruction using a local advancement flap. This enabled a successful outcome, with no further wound issues observed for 6 months. Early diagnosis, imaging modalities, prompt surgical intervention, and appropriate antibiotic therapy are essential for the successful management of FG. This case emphasizes the importance of recognizing the possibility of FG arising from pressure sores and highlights the critical role of early surgical intervention.

Fournier’s gangrene (FG) is a rare but life-threatening bacterial infection affecting the genital and perianal areas, often associated with high morbidity and mortality rates. Although pressure sores, injuries caused by prolonged pressure on the skin, are considered a risk factor for FG, they are rarely the direct cause of the condition. This case report presents a 65-year-old male with paraplegia and a chronic ischial pressure sore who presented with FG. The patient was treated with prompt surgical debridement and antibiotic therapy, followed by wound reconstruction using a local advancement flap. This enabled a successful outcome, with no further wound issues observed for 6 months. Early diagnosis, imaging modalities, prompt surgical intervention, and appropriate antibiotic therapy are essential for the successful management of FG. This case emphasizes the importance of recognizing the possibility of FG arising from pressure sores and highlights the critical role of early surgical intervention.

Fournier’s gangrene (FG) is a rare but life-threatening bacterial infection affecting the genital and perianal areas, often associated with high morbidity and mortality rates. Although pressure sores, injuries caused by prolonged pressure on the skin, are considered a risk factor for FG, they are rarely the direct cause of the condition. This case report presents a 65-year-old male with paraplegia and a chronic ischial pressure sore who presented with FG. The patient was treated with prompt surgical debridement and antibiotic therapy, followed by wound reconstruction using a local advancement flap. This enabled a successful outcome, with no further wound issues observed for 6 months. Early diagnosis, imaging modalities, prompt surgical intervention, and appropriate antibiotic therapy are essential for the successful management of FG. This case emphasizes the importance of recognizing the possibility of FG arising from pressure sores and highlights the critical role of early surgical intervention.

Primary lymphoma of pancreatic mucosa-associated lymphoid tissue (MALT) is extremely rare. Initial suspicion of primary pancreatic lymphoma is hampered by its low incidence. However, it should always be included in a differential diagnosis of pancreatic mass with unusual features, because an accurate diagnosis can avoid unnecessary surgical intervention. A 70-year-old woman presented with melena associated with a mass on the pancreatic head. Endoscopic ultrasonography-guided core-needle biopsy of the pancreatic mass revealed MALT lymphoma. The patient is currently undergoing radiation therapy. We present a case of primary lymphoma of the pancreatic MALT with a review of the literature.
Aged ; Biopsy ; Diagnosis ; Diagnosis, Differential ; Female ; Head ; Humans ; Incidence ; Lymphoid Tissue ; Lymphoma ; Lymphoma, B-Cell, Marginal Zone ; Melena

Primary lymphoma of pancreatic mucosa-associated lymphoid tissue (MALT) is extremely rare. Initial suspicion of primary pancreatic lymphoma is hampered by its low incidence. However, it should always be included in a differential diagnosis of pancreatic mass with unusual features, because an accurate diagnosis can avoid unnecessary surgical intervention. A 70-year-old woman presented with melena associated with a mass on the pancreatic head. Endoscopic ultrasonography-guided core-needle biopsy of the pancreatic mass revealed MALT lymphoma. The patient is currently undergoing radiation therapy. We present a case of primary lymphoma of the pancreatic MALT with a review of the literature.

Background/Aims: To evaluate the association between the urinary sodium concentration and iodine status in different age groups in Korea. Methods: This nationwide, population-based, cross-sectional study used data from the Korean National Health and Nutrition Examination Survey (VI 2-3, 2014 to 2015). We included 3,645 subjects aged 10 to 75 years with normal kidney function and without a history of thyroid disease. Adequate iodine intake was defined as a urinary iodine/creatinine (I/Cr) ratio of 85 to 220 µg/g. The urinary sodium/ creatinine (Na/Cr) ratios were classified as low (< 47 mmol/g), intermediate (47 to 114 mmol/g), or high (> 114 mmol/g). Results: The median urinary iodine concentration (UIC) was 292 µg/L (interquartile range [IQR], 157 to 672), and the median urinary I/Cr ratio was 195 µg/g (IQR, 104 to 478). Iodine deficiency (< 100 µg/L) and iodine excess (> 300 µg/L) were observed in 11.3% and 49.0% of subjects, respectively. The UIC was significantly associated with the urinary sodium concentration, and the urinary I/Cr ratio was significantly correlated with the urinary Na/Cr ratio (both p < 0.001). The distributions of UIC, urinary I/Cr ratio, and Na/Cr ratio varied among age groups. Low urinary I/Cr and Na/Cr ratios were most common in young adults (age, 19 to 29 years), while high urinary I/Cr and Na/Cr ratios were most common in elderly people (age, 60 to 75 years). Conclusions Iodine intake was significantly associated with sodium intake in the Korean population. Our study suggested that an adequately low salt intake might be helpful for preventing iodine excess in Korea.

In November 2021, 14 international travel-related severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) B.1.1.529 (omicron) variant of concern (VOC) patients were detected in South Korea. Epidemiologic investigation revealed community transmission of the omicron VOC. A total of 80 SARS-CoV-2 omicron VOC-positive patients were identified until December 10, 2021 and 66 of them reported no relation to the international travel.There may be more transmissions with this VOC in Korea than reported.