A rare isolated herbicide scrotal burns: A case report. Issue 4 (October 2022)

• Record Type: Journal Article
• Authors: Ali, Mahamudu Ayamba; Musah, Redwan; Oyortey, Mawuenyo Attawa; Esi Ashong, Marian; Nyarko, Felicia
• Is Part Of: Burns open. Volume 6:Issue 4(2022)
• Page Start: 192
• Page End: 194
• Publication Date: 2022-10
• Subjects: Herbicide burns -- Chemical burns -- Paraquart toxicity -- Scrotal burns -- Case reports; HSB - Herbicide Scrotal burn PSB - Paraquart Scrotal Burns, LUTS - lower urinary tract symptoms, FG - Fourniers Gangrene; Burns and scalds -- Treatment -- Periodicals; Burns and scalds -- Periodicals; Burns and scalds -- Prevention -- Periodicals; Burns and scalds -- Patients -- Rehabilitation -- Periodicals; Burns and scalds -- Nursing -- Periodicals; Burns; Periodicals; Electronic journals; 617.11005
• DOI: 10.1016/j.burnso.2022.10.005
• Languages: English
• ISSNs: 2468-9122

Abstract

Highlights: Herbicide contact scrotal burns are rarely reported. The main agent is toxic to mitochondria. The widely used herbicides contain paraquart. Late presentation may mimic Fournier's Gangrene. It may be more prevalent than thought due to the usual late presentation. Abstract: Introduction: Paraquat-exposed scrotal burns as farming hazard is rare. Such scrotal burns may mimic fourniers gangrene and increase management challenges when the presentation is delayed. With the increasing use of herbicides among farmers who may lack access to agriculture extension services' safety advice and prescribed protective farm wear, the risk of frequent herbicide scrotal burns may be higher than reported. Case presentation: A 24-year-old man presented with painful scrotal swellings 3 days after exposure to paraforce herbicide. Physical examination revealed multiple bullous lesions and ulcers on the scrotum which mimic Fourniers gangrene. Immediate management aimed to prevent Fournier's gangrene and testicular damage was successful. Conclusion: Conservative treatment for paraquart scrotal burns may be sufficient even in late presentation. Inspect spraying machine and protective wear before use.