Fournier′s gangrene

Abstract

Context: Fournier's gangrene (FG) is a rapidly progressing acute gangrenous infection of the anorectal and urogenital area. Aims: The objectives of this study were to investigate patients with FG and to determine risk factors that affect mortality. Settings and Design: Retrospective clinical study. Materials and Methods: Clinical presentations and outcomes of surgical treatments were evaluated in 68 patients with FG. Statistical Analysis Used: Chi-square, Student's t -test, and logistic regression test. Results: Mean age of patients was 54 and female-to-male ratio was 9:59. Among the predisposing factors, diabetes mellitus (DM) was the most common (n =24, 35.3%), and sepsis on admission was detected in 31 (45.6%) and 15 (22.1%) patients, respectively. Seven (10.3%) patients died. Using logistic regression test, Fournier's Gangrene Severity Index (FGSI) <9, DM and sepsis on admission were found as prognostic factors. Conclusions: FG has a high mortality rate, especially in patients with DM and sepsis. An FGSI value <9 indicates high mortality rate.

Are neutrophil-lymphocyte ratio and platelet-lymphocyte ratio as effective as Fournier's gangrene severity index for predicting the number of debridements in Fourner's gangrene?

“…This scoring system is widely used in the literature, and there are many studies supporting these results. [13][14][15]19] However, a study by Sallami et al reported the opposite results. [20] Yilmazlar et al [11] modified this scoring system and added two parameters: dissemination degree and age scores.…”

The care of a patient with Fournier's gangrene

“…They found that the average age of the patients who died was 66.7, whereas the average age of the patients who survived was 53.3 and that the rate of mortality was higher in those who were 60 years of age and older. [8] It is stated in the literature that old age is not a predisposing factor; however, elderly patients with poor selfcare and nutritional status are more susceptible to Fournier's gangrene and the prognosis is worse in elderly patients. [9] Consequently, slightest complaints in the perineal, genital and perianal regions, especially in elderly patients, should be evaluated carefully.…”

“…[1,2,4,[8][9][10] In this case study, the patient had been consuming alcohol for fifty-four years since the age of fifteen, had liver cirrhosis and a history of hypertension, and was excessively overweight (BMI: 39.1). Alcohol, cirrhosis, excessive overweight and hypertension in our case study suggested that these were predisposing factors for Fournier's gangrene, as also suggested in the literature.…”

“…[8] Dressing the wound debrided surgically in a suitable manner, [7] meeting the nutritional requirements of the body for re-granulation of the tissues, monitoring the nutritional status of the patient, and giving supportive food supplements are all important. [6] In spite of the fact that Fournier's gangrene was first described as a gangrene of the penis and scrotum spreading rapidly in young male adults, it has been shown in the recent literature as occurring predominantly in cases of an advanced age and having predisposing factors.…”

The modern view on the rare purulent-necrotic diseases of the external genitalia in men (review of literature)

“…В таких случаях неотложные лечеб-ные мероприятия нередко осуществляются без приме-нения лучевых средств визуализации [1,3,73,74,78,102,112,122]. Лучевые методы исследования показаны в диагностически неясных или осложненных случаях: в ранней стадии заболевания, когда клинико-лабора-торные проявления ГФ неспецифичны или в послеопе-рационном периоде -при рецидиве заболевания.…”