ABSTRACT
CASE MANAGEMENT The patient’s symptoms are suggestive of pelvic or postbanding sepsis. The patient should be examined urgently, admitted, started on broad-spectrum intravenous antibiotics, and intravenous fluids. A foley catheter should be placed and blood work (CBC, metabolic profile, etc) obtained. A CT scan of the abdomen and pelvis should be considered. If the initial exam (including anoscopy) is not adequate or demonstrated necrotic perianal tissue, the patient should receive an exam under anesthesia and debridement of any necrotic tissue.
