id	author	title	date	pages	extension	mime	words	sentences	flesch	summary	cache	txt
cord-351624-32opyo0i	Kappel, Coralea	A case of possible Fournier’s gangrene associated with proning in COVID-19 ARDS	2020-07-27		.txt	text/plain	692	44	47	title: A case of possible Fournier's gangrene associated with proning in COVID-19 ARDS Severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2), the virus responsible for the coronavirus disease (COVID-19) pandemic, has contributed to significant morbidity and mortality, and presents with a myriad of clinical manifestations. We report a case of a 46yr old obese male with acute respiratory distress syndrome (ARDS) secondary to COVID-19, who went on to develop Fournier's gangrene following prolonged and repeated ventilation in prone position (proning). Despite optimized positive end-expiratory pressure (20 cmH 2 O) and lungprotective ventilation, the patient had ongoing hypoxia with PaO 2 /F I O 2 ratios less than 150, and by day 4 of ICU admission was started on a 16-18 hrÁday -1 proning protocol. Nevertheless, given the prolonged duration of ventilation required by most COVID-19 patients and the risk of both common and unique complications due to proning (as highlighted by this case), clinicians ought to be increasingly vigilant with monitoring.	./cache/cord-351624-32opyo0i.txt	./txt/cord-351624-32opyo0i.txt