Case 54: Fournier Gangrene

Uppot, Raul N.; Levy, Howard M.; Patel, Pankaj H.

doi:10.1148/radiol.2261010714

Cited by 36 publications

(32 citation statements)

References 4 publications

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“…Alfred Fournier, a French venerologist, described a subgroup of necrotizing fasciitis in 1883. 8 Originally, it was thought to be an idiopathic infection of healthy males. However, modern use of the term Fournier's gangrene has been expanded to include all perineal necrotizing infections in both men and women.…”

Section: Case Reportmentioning

confidence: 99%

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Fourniers gangrene-A case report and literature review

Agarwal

Karmacharaya

Hirachan

et al. 2012

J Coll Med Sci-Nepal

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Fournier's gangrene(FG) is a rare, necrotising fasciitis of the genitals and perineum with occasional cranial extension to the abdominal wall caused by a mixture of aerobic and anaerobic microorganisms. The complications of this synergistic infection are multiple organ failure and death. Due to the aggressive nature of this condition, early diagnosis is crucial. Treatment involves extensive soft tissue debridement and broad-spectrum antibiotics. Despite appropriate therapy, mortality is high. We report a case of a gentleman who presented with gangrenous and necrotic penile, scrotal and perineal areas. Patient was successfully managed by extensive soft tissue debridement, broad spectrum antibiotics and skin grafting.

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Section: Case Reportmentioning

confidence: 99%

“…7 The majority of infections documented occur in diabetic men aged 50 to 70 years. 8 It is a serious condition characterised by cellulitis of the scrotal skin leading to subcutaneous necrosis, all of which are preceded by subcutaneous crepitations. The testes are unaffected.…”

Section: Case Reportmentioning

confidence: 99%

Fourniers gangrene-A case report and literature review

Agarwal

Karmacharaya

Hirachan

et al. 2012

J Coll Med Sci-Nepal

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“…Early recognition and diagnosis, followed by emergency surgery, are the keys to treating these cases and to the prevention of systemic sepsis, potential organ failure and death [9,10]. …”

Section: Case Reportmentioning

confidence: 99%

Fournier’s gangrene — Not a stigma for surgery with newer surgical reconstruction of scrotum

Tomar

2010

Indian J Surg

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A 34-year-old man with complaining of high fever and painful swelling and edema of the scrotum was admitted to our hospital. As per clinical and radiological findings, he diagnosed as a case of Fournier's gangrene. We started treatment with antibiotics, and extensive soft tissue debridement of scrotum done. After the debridement, infection was controlled by wound irrigation, higher antibiotic, regular dressing. Patient improved drastically and mature granulation covered both the testes completely within 14 days. After all this treatment, the neoscrotum was made successfully by mobilizing bilateral fascio-cutaneous flaps from adjacent supero-medial sites of the thighs. The patient was discharged on 26th day and patient is doing well in follow up.

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“…Jean Alfred Fournier, a French venerologist, described a subgroup of necrotising fasciitis in 1883. 9 Originally, it was thought to be an idiopathic infection of healthy males. However, modern use of the term Fournier's gangrene has been expanded to include all perineal necrotising infections in both men and women.…”

Section: Introductionmentioning

confidence: 99%

“…8 The majority of infections documented occur in diabetic men aged 50 to 70 years. 9 It is a serious condition characterised by cellulitis of the scrotal skin leading to subcutaneous necrosis, all of which are preceded by subcutaneous crepitations. The testes are unaffected.…”

Section: Introductionmentioning

confidence: 99%