scholarly journals Our experience in treating Fournier’s gangrene at Max Hospital, Gurugram

2021 ◽  
Vol 8 (10) ◽  
pp. 3136
Author(s):  
Vinod Kumar Nigam ◽  
Siddharth Nigam
Keyword(s):  
Septic Shock ◽  
Fournier’S Gangrene ◽  
Team Work ◽  
X Rays ◽  
Aggressive Treatment ◽  
Fournier's Gangrene ◽  
Intravenous Antibiotics ◽  
Percent Mortality ◽  
Life Threatening ◽  
Aerobic And Anaerobic

French venereologist Jean-Alfred Fournier described this gangrene as a fulminant gangrene of the penis and scrotum in young men. He reported five cases in his clinical lectures in 1883 though it was first described by Baurienne in 1764. Fournier’s gangrene is a form of necrotizing fasciitis that affects the genital and surrounding perineal and perianal areas. It’s a life-threatening disease leading to 20 to 80 percent mortality. It destroys tissues quickly and infection progresses to septic shock which kills patient if prompt and aggressive treatment is not started. Common symptoms of Fournier’s gangrene are pain in scrotum and or perineum, redness, fever and weakness. Advanced cases have foul smelling discharge from infected tissues. It is due to polymicrobial infection, both aerobic and anaerobic. Fournier’s gangrene is usually diagnosed clinically but imaging investigations such as X-rays, Ultrasound and CT scan help a lot to reach the diagnosis early. Treatment mainly consists of resuscitation, intravenous antibiotics and debridement. We have treated successfully four cases of advanced Fournier’s gangrene with team work of surgeons, anaesthesiologists, physicians and critical care specialists. Full recovery is possible due to a good team work and understanding the disease.

scholarly journals Fournier's Gangrene

2016 ◽  
Vol 5 (1) ◽  
pp. 1101
Author(s):  
Tejas A. P. ◽  
Revanasiddappa . ◽  
Hariprasad T. R. ◽  
Rohit K.
Keyword(s):  
Case Report ◽  
Bacterial Flora ◽  
Disease Process ◽  
Multiple Organ ◽  
Fournier’S Gangrene ◽  
Antibiotic Administration ◽  
Fournier's Gangrene ◽  
Life Threatening ◽  
Aggressive Debridement ◽  
Aerobic And Anaerobic

Fournier's gangrene is a rare, idiopathic, life threatening, necrotising fascitis of the genitals and perineum caused by both aerobic and anaerobic bacterial flora. The synergistic effect of the bacteriae results in fulminating gangrene, multiple organ failure and death. Most commonly it has predilection for diabetic and alcohol abused individuals. Timely recognition of the disease process and initiation of treatment with aggressive debridement and antibiotic administration is called for. In this case report, we recall an account of our tryst with Fournier's gangrene management.

scholarly journals Fournier's Gangrene due to Masturbation in an Otherwise Healthy Male

2012 ◽  
Vol 2012 ◽  
pp. 1-3 ◽  
Author(s):  
Jason D. Heiner ◽  
Katisha D. Eng ◽  
Todd A. Bialowas ◽  
Diane Devita
Keyword(s):  
Unusual Case ◽  
Skin Grafting ◽  
Fournier’S Gangrene ◽  
Healthy Male ◽  
Fournier's Gangrene ◽  
Scrotal Pain ◽  
Thickness Skin ◽  
Intravenous Antibiotics ◽  
Split Thickness Skin Grafting ◽  
Life Threatening

Fournier's gangrene is a rare and often fulminant necrotizing fasciitis of the perineum and genital region frequently due to a synergistic polymicrobial infection. This truly emergent condition is typically seen in elderly, diabetic, or otherwise immune-compromised individuals. Here, we report an unusual case of Fournier's gangrene due to excessive masturbation in an otherwise healthy 29-year-old male who presented to the emergency department complaining of two days of fever, vomiting, and diffuse myalgias. Upon further questioning, he also endorsed severe scrotal pain and swelling and frequent masturbation with soap as a lubricant resulting in recurrent penile erythema and minor skin abrasions. Examination of the patient's perineum was consistent with Fournier's gangrene and included significant erythema, edema, and calor of the penis and scrotum with a large malodorous eschar. He was given intravenous antibiotics and immunoglobulin and promptly underwent three surgical debridements of the scrotum and penis with split-thickness skin grafting. Complications from excessive masturbation are exceedingly rare, but as this case illustrates, they can be life threatening.

scholarly journals Fournier’s Gangrene With Septic Shock and Multiple Organ Dysfunction Syndrome

2019 ◽  
Vol 18 (1) ◽  
pp. 94-96 ◽  
Author(s):  
Zengding Zhou ◽  
Feng Guo ◽  
Jingning Huan
Keyword(s):  
Computed Tomography ◽  
Septic Shock ◽  
Organ Dysfunction ◽  
Multiple Organ Dysfunction Syndrome ◽  
Clinical Findings ◽  
Multiple Organ ◽  
Fournier’S Gangrene ◽  
Multiple Organ Dysfunction ◽  
Fournier's Gangrene ◽  
Life Threatening

Fournier’s gangrene is a rare, rapidly progressing, and life-threatening infection associated with necrotizing fasciitis in the perineal, genital, and/or lower abdominal regions. Septic shock and multiple organ dysfunction syndrome due to the condition are even rarer events. We describe the case of a 58-year-old man who visited the emergency department with severely painful swelling in the scrotal, perianal, and lower abdominal regions. Physical examination combined with computed tomography and clinical findings led to the diagnosis of Fournier’s gangrene with septic shock and multiple organ dysfunction syndrome. Broad-spectrum antibiotics, fluid resuscitation, sedative administration, and several surgeries that included perineum reconstruction were performed successfully, and the patient fully recovered. Comprehensive, timely treatments are critical for treating Fournier’s gangrene.

Fournier's Gangrene of Genitalia: Case Report

2003 ◽  
Vol 70 (1-4) ◽  
pp. 38-40
Author(s):  
P. Salciccia ◽  
G. Poveromo ◽  
S. Salciccia
Keyword(s):  
Septic Shock ◽  
Case Report ◽  
Early Diagnosis ◽  
Rare Disease ◽  
Abdominal Wall ◽  
Sudden Onset ◽  
Fournier’S Gangrene ◽  
Fournier's Gangrene ◽  
Prodromal Symptoms

Fournier's gsngrene is a rare disease involving the scrotum and the penis with occasional extension up to the abdominal wall. The etiology of the disease, commonly without prodromal symptoms and with sudden onset, is still not fully understood. The organisms are usually streptococcus haemoliticus and/or anerobic bacteria. We report a case of Fournier's gangrene, presenting septic shock. The patient was treated with reanimatory care, antibiotics, local excision and debridment. Speaking about anatomical and etiopathogenetic hypotheses, we discuss the diagnostic problems and the treatment of the disease. We emphasize the role of the early diagnosis.

scholarly journals Iatrogenic rectal injury associated with fleet enema administration masquerading as Fournier’s Gangrene

2020 ◽  
Vol 2020 (2) ◽  
Author(s):  
Yi Liang ◽  
Angelina Di Re ◽  
Grahame Ctercteko
Keyword(s):  
Perineal Wound ◽  
Fournier’S Gangrene ◽  
Mechanical Trauma ◽  
Rectal Injury ◽  
Fournier's Gangrene ◽  
Current Case ◽  
Affected Tissue ◽  
Life Threatening ◽  
Extensive Debridement ◽  
Mucosal Necrosis

Abstract Rectal injuries secondary to fleet enemas are the result of a chemical irritation as well as mechanical trauma causing localized perforation and mucosal necrosis. These injuries can be managed expectantly. Fournier’s Gangrene is a life-threatening, fulminant soft tissue infection of the genito-perineal region commonly secondary to a perianal infection, requiring extensive debridement of all affected tissue and judicious antibiotic therapy. This distinction is critical in the management of the current case, allowing for limited debridement and judicious observation without a resection of the injured rectum. A diverting colostomy allows for effective faecal management and minimizes contamination of the perineal wound.

scholarly journals Retroperitoneal Spread of Fournier's Gangrene: A Rare but Fatal Presentation

2016 ◽  
Vol 5 (3) ◽  
pp. 166-168
Author(s):  
Apoorv Goel ◽  
Roli Bansal
Keyword(s):  
Septic Shock ◽  
Necrotizing Fasciitis ◽  
Multiorgan Failure ◽  
Psoas Muscle ◽  
External Genitalia ◽  
Fournier’S Gangrene ◽  
Fournier's Gangrene ◽  
Elderly Males ◽  
Scrotal Edema ◽  
Lower Abdominal Wall

ABSTRACT Fournier's gangrene is severe infective necrotizing fasciitis of the external genitalia predominantly in elderly males. It is usually associated with septic shock and multiorgan failure. A 55-yearold male presented with scrotal edema, pain, and redness over lower abdominal wall and both flanks with features of sepsis and ileus. Intraoperative findings were suggestive of extensive necrotizing fasciitis of scrotum spreading to both inguinal region, right lateral parietal wall, and right psoas muscle. How to cite this article Goel A, Bansal R. Retroperitoneal Spread of Fournier's Gangrene: A Rare but Fatal Presentation. Panam J Trauma Crit Care Emerg Surg 2016;5(3):166-168.

scholarly journals An unusual case of malignant mesothelioma mimicking as Fournier’s gangrene

2021 ◽  
Vol 9 (2) ◽  
pp. 620
Author(s):  
Geoffrey E. Sundar ◽  
Kishan Prasad Hosapatna Laxminarayana ◽  
Jayaprakash Kubalady Shetty ◽  
Lancelot Lobo
Keyword(s):  
Necrotizing Fasciitis ◽  
Malignant Mesothelioma ◽  
Unusual Case ◽  
Fournier’S Gangrene ◽  
Rare Entity ◽  
Fournier's Gangrene ◽  
Fournier Gangrene ◽  
Life Threatening

Fournier gangrene is a rare, life-threatening necrotizing fasciitis that usually involves the perineal or genital areas. Malignant mesothelioma in the inguinal and paratesticular region is a very rare entity and manifesting as Fournier’s gangrene is still rare. Here we present a case of malignant mesothelioma which presented clinically as Fournier’s gangrene.  

scholarly journals Neglected Fournier’s Gangrene Caused byAcinetobacter baumannii: A Rare Case Report

2016 ◽  
Vol 2016 ◽  
pp. 1-4
Author(s):  
Arif Emre ◽  
Mehmet Sertkaya ◽  
Sami Akbulut ◽  
Yakup Duman ◽  
Ilhami Taner Kale
Keyword(s):  
Acinetobacter Baumannii ◽  
Anaerobic Bacteria ◽  
Multidrug Resistant ◽  
Fournier’S Gangrene ◽  
Treatment Modalities ◽  
Fournier's Gangrene ◽  
Thickness Skin ◽  
Rare Case Report ◽  
Life Threatening ◽  
Aggressive Debridement

Fournier’s gangrene, rare but life threatening disease, is characterized by an acute necrotic infection of the scrotum, penis, or perineum. Fournier’s gangrene is a mixed infection caused by both aerobic and anaerobic bacteria. Fournier’s gangrene caused by multidrug resistantAcinetobacter baumanniihave been reported rarely. The mainstay of treatment is prompt recognition and a combination of antibiotics with radical debridement. We describe a case of a 56-year-old male patient presenting with neglected Fournier’s gangrene caused byAcinetobacter baumannii. Many treatment modalities including broad-spectrum antibiotics, aggressive debridement, negative pressure wound therapy, diversion colostomy, and partial-thickness skin grafts were applied to save the patient’s life.

scholarly journals Emphysematous Pyelonephritis Caused by a Giant Fecaloma

2019 ◽  
Vol 2019 ◽  
pp. 1-4
Author(s):  
Mikael Abi Abdallah ◽  
Nehme Raad ◽  
Naim Yarak ◽  
Jean Paul Noujeim ◽  
Antoine Noujeim
Keyword(s):  
Septic Shock ◽  
Fecal Impaction ◽  
Routine Clinical Practice ◽  
Rapid Progression ◽  
Aggressive Treatment ◽  
Emphysematous Pyelonephritis ◽  
First Case ◽  
Threatening Condition ◽  
Life Threatening ◽  
High Index Of Suspicion

Emphysematous pyelonephritis (EPN) is a gas-producing necrotizing bacterial infection that involves the renal parenchyma and perirenal tissue. It is a life-threatening condition that requires a high index of suspicion, an early diagnosis and an aggressive treatment. Rapid progression to septic shock may occur. We report, to the best of our knowledge, the first case of obstructive EPN caused by a giant fecaloma. The patient was successfully treated with percutaneous drainage and broad-spectrum antibiotics, in addition to fecaloma evacuation using fleet enemas and oral laxatives. This shows how fecal impaction, a common pathology in routine clinical practice, can cause some serious complications if left untreated, including extrinsic ureteral compression.

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