Fournier's gangrene - Case report and a brief review

Authors

  • Amr Y Arkoubi
  • Sajad Ahmad Salati

Keywords:

Fournier’s gangrene ( FG), emergency, infection, mortality, co-morbidity, debridement

Abstract

Fournier’s gangrene is a serious condition with very high mortality. It is usually associated with various co- orbidities. Early diagnosis with multispecialty approach and aggressive management is the key to successful outcome. We successfully managed Fournier’s gangrene in a 32-year-old diabetic male. This case is reported and the condition is reviewed in the light of recent literature.

References

Fournier JA. Gangrene foudroyante de la verge. Semaine Médicale. 1883;4:589-97.

Morua AG, Lopez JA, Garcia JD, Montelongo RM, Guerra LS. Fournier's gangrene: our experience in 5 years, bibliographic review and assessment of the Fournier's gangrene severity index. Arch Esp Urol. 2009;62:532-40.

Chen SY, Fu JP, Wang CH et al. Fournier gangrene: a review of 41 patients and strategies for reconstruction. Ann Plast Surg. 2010;64:765-9.

Eke N. Fournier's gangrene: a review of 1726 cases. Br J Surg. 2000;87:718-28.

Ekingen G, Isken T, Agir H et al. Fournier's gangrene in childhood: a report of 3 infant patients. J Pediatr Surg. 2008;43:e39-42.

Cundy TP, Boucaut HA, Kirby CP. Fournier's gangrene in a child with congenital genitourinary anomalies. J Pediatr Surg. 2012;47:808-11.

Jefferies M, Saw NK, Jones P. Fournier's gangrene in a five year old boy - beware of the child post varicella infection. Ann R Coll Surg Engl. 2010;92:W62-3.

Mouraviev VB, Pautler SE, Hayman WP. Fournier's gangrene following penile selfinjection with cocaine. Scand J Urol Nephrol. 2002;36:317-8.

Ullah S, Khan M, Asad Ullah Jan M. Fournier's gangrene: a dreadful disease. Surgeon. 2009;7(3):138-42.

Wang L, Han X, Liu M et al. Experience in management of Fournier's gangrene: A report of 24 cases. J Huazhong Univ Sci Technolog Med Sci. 2012;32:719-23.

Yumura Y, Chiba K, Saito K, Hirokawa M. Fournier's gangrene in a patient with malignant lymphoma: a case report. Hinyokika Kiyo. 2000;46:735-7.

Chazan B, Chen Y, Raz R et al. Fournier's gangrene as the initial presentation of HIV infection. Int J Infect Dis. 2007;11:184-5.

Licheri S, Erdas E, Pisano G et al. Fournier's gangrene in an HIV-positive patient: Therapeutic options. Chir Ital. 2008;60:607- 15.

Ugwumba FO, Nnabugwu II, Ozoemena OF. Fournier's gangrene - analysis of management and outcome in south-eastern Nigeria. S Afr J Surg. 2012;50:16-9.

Nambiar PK, Lander S, Midha M, Ha C. Fournier gangrene in spinal cord injury: a case report. J Spinal Cord Med. 2005;28:121-4.

Nigam V, Halim TA, Chhabra HS. Fournier's gangrene in a female with spinal cord injury: a case report. Spinal Cord. 2010;48:268-9.

Czymek R, Frank P, Limmer S et al. Fournier's gangrene: is the female gender a risk factor? Langenbecks Arch Surg. 2010;395:173-80.

Sherman J, Solliday M, Paraiso E et al. Early CT findings of Fournier's gangrene in a healthy male. Clin Imaging. 1998;22:425- 7.

Karadeniz Cakmak G, Irkorucu O, Ucan BH, Karakaya K. Fournier's gangrene after open hemorrhoidectomy without a predisposing factor: Report of a case and review of the literature. Case Rep Gastroenterol. 2009;3:147-55.

Thwaini A, Khan A, Malik A et al. Fournier's gangrene and its emergency management. Postgrad Med J. 2006; 82(970):516-9.

Zaba R, Grzybowski A, Prokop J et al. Fournier’s gangrene: Historical survey, current status, and case description. Med Sci Monit. 2009;15:CS34-39.

Morrison D, Blaivas M, Lyon M. Emergency diagnosis of Fournier's gangrene with bedside ultrasound. Am J Emerg Med. 2005;23:544-7.

Ash L, Hale J. CT findings in perforated rectal carcinoma presenting as Fournier’s gangrene in the emergency department. Emerg Radiol. 2005;11:295-7.

Piedra T, Ruiz E, Gonzalez FJ et al. Fournier's gangrene: a radiologic emergency. Abdom Imaging. 2006;31(4):500-2.

Laor E, Palmer LS, Tolia BM et al. Outcome prediction in patients with Fournier's gangrene. J Urol. 1995;154:89- 92.

Corcoran AT, Smaldone MC, Gibbons EP et al. Validation of the Fournier's gangrene severity index in a large contemporary series. J Urol. 2008;180:944-8.

Kara E, Muezzinoglu T, Temeltas G et al. Evaluation of risk factors and severity of a life threatening surgical emergency: Fournier's gangrene (a report of 15 cases). Acta Chir Belg. 2009;109:191-7.

Sallami S, Maalla R, Gammoudi A et al. Fournier's gangrene: What are the prognostic factors? Our experience with 40 patients. Tunis Med. 2012;90:708-14.

Janane A, Hajji F, Ismail TO et al. Hyperbaric oxygen therapy adjunctive to surgical debridement in management of Fournier's gangrene: Usefulness of a severity index score in predicting disease gravity and patient survival. Actas Urol Esp. 2011;35:332-8.

Altarac S, Katusin D, Crnica S et al. Fournier's gangrene: etiology and outcome analysis of 41 patients. Urol Int. 2012;88:289-93.

Cuccia G, Mucciardi G, Morgia G et al. Vacuum-assisted closure for the treatment of Fournier's gangrene. Urol Int. 2009;82:426- 31.

Tucci G, Amabile D, Cadeddu F, Milito G. Fournier's gangrene wound therapy: our experience using VAC device. Langenbecks Arch Surg. 2009;394:759-68.

Assenza M, Cozza V, Sacco E et al. VAC (Vacuum Assisted Closure) treatment in Fournier's gangrene: personal experience and literature review. Clin Ter. 2011;162:e1- 5.

Ooi A, Chong SJ. Use of adjunctive treatments in improving patient outcome in Fournier's gangrene. Singapore Med J. 2011;52:e194-7.

Yoshida N, Yamazaki S, Takayama T. A case of Fournier's gangrene after liver transplantation: treated by hyperbaric oxygen therapy. Biosci Trends. 2011;5:223- 5.

Durand CM, Alonso CD, Subhawong AP et al. Rapidly progressive cutaneous Rhizopus microsporus infection presenting as Fournier's gangrene in a patient with acute myelogenous leukemia. Transpl Infect Dis. 2011;13:392-6.

Hejase MJ, Simonin JE, Bihrle R, Coogan CL. Genital Fournier's gangrene: experience with 38 patients. Urology. 1996;47:734-9.

Tahmaz L, Erdemir F, Kibar Y et al. Fournier's gangrene: report of thirty-three cases and a review of the literature. Int J Urol. 2006;13:960-7.

Temiz M, Cetin M, Aslan A. Fournier's gangrene caused by Candida albicans. Mikrobiyol Bul. 2008;42:707-11.

Cakmak A, Genc V, Akyol C et al. Fournier's gangrene: is it scrotal gangrene? Adv Ther. 2008;25:1065-74.

Jimenez-Pacheco A, Arrabal-Polo MA, Arias-Santiago S et al. Fournier gangrene: description of 37 cases and analysis of associated health care costs. Actas Dermosifiliogr. 2012;103:29-35.

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Published

2016-11-22

How to Cite

1.
Arkoubi AY, Salati SA. Fournier’s gangrene - Case report and a brief review. J Pak Assoc Dermatol [Internet]. 2016Nov.22 [cited 2025Mar.25];25(1):44-51. Available from: https://www.jpad.com.pk/index.php/jpad/article/view/129

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