scholarly journals A Rare Case of Fournier’s Gangrene caused by Helcococcus kunzii

2016 ◽  
Vol 6 (2) ◽  
pp. 43-46
Author(s):  
Mazen A. Badawi ◽  
Maha M. Al-Alawi
Keyword(s):  
Risk Factors ◽  
Escherichia Coli ◽  
Rare Case ◽  
Fournier’S Gangrene ◽  
Local Infection ◽  
Fournier's Gangrene ◽  
Skin Flora ◽  
Common Risk Factors ◽  
And Staphylococcus Aureus ◽  
Positive Coccus

Fournier’s gangrene is an acute rapidly progressing form of necrotizing fasciitis involving the genitalia and perianal regions. Trauma and local infection are the most common risk factors especially in the setting of diabetes. It is usually a polymicrobial infection caused by skin flora of the genital area. The most commonly isolated aerobic microorganism are Escherichia coli, Klebsiella pneumoniae, and Staphylococcus aureus, while Bacteroides fragilis is a common culprit from the anaerobic group. We report a patient with Fournier’s gangrene caused by Helcococcus kunzii; anaerobic gram-positive coccus not known to be associated with Fournier’s gangrene before.

scholarly journals Algorithm of rational approach to reconstruction in Fournier’s disease

Open Medicine ◽  
2021 ◽  
Vol 16 (1) ◽  
pp. 1028-1037
Author(s):  
Domenico Tripodi ◽  
Maria Ida Amabile ◽  
Federica Gagliardi ◽  
Federico Frusone ◽  
Marzia Varanese ◽  
...  
Keyword(s):  
Necrotizing Fasciitis ◽  
Fournier’S Gangrene ◽  
Rational Approach ◽  
Skin Grafts ◽  
Local Infection ◽  
Fournier's Gangrene ◽  
Rare Form ◽  
Perineal Region ◽  
Reconstructive Technique ◽  
Diabetes And Obesity

Abstract Background Fournier’s gangrene is a rare form of necrotizing fasciitis that affects the genital area up to the perineal region and sometimes the abdominal wall. Objectives Our article aims to show that in the treatment of extensive forms of Fournier’s gangrene, correct use of flap and skin grafts and a quick reconstruction of the exposed tissues avoid scarring retraction of the testicles and deformation of the penis. Materials and methods We retrospectively reviewed the clinical and photographic data of Fournier’s gangrene cases treated at our Institute. The data were evaluated to obtain an estimate of the results of the reconstructive technique used, in terms of percentage of occurred healings and eventual complications. Results A total of 34 patients underwent surgery for Fournier’s gangrene. In nine cases (26.5%), we had minor complications: in four patients, suffering from diabetes and obesity, a retard in attachment of graft occurred, while in five patients with perianal problems there was a delay in healing due to the onset of local infection. Conclusion The reconstruction approach described here may reduce surgical times. In Fournier’s gangrene, the exposed tissues must be reconstructed as quickly as possible.

scholarly journals A Rare Case of Localised Isolated Penile Fournier’s Gangrene and a Short Review of the Literature

2018 ◽  
Vol 2018 ◽  
pp. 1-3 ◽  
Author(s):  
Antonios Katsimantas ◽  
Nikolaos Ferakis ◽  
Panagiotis Skandalakis ◽  
Dimitrios Filippou
Keyword(s):  
Enterococcus Faecalis ◽  
Fluid Resuscitation ◽  
Rare Case ◽  
Short Review ◽  
Fournier’S Gangrene ◽  
Rare Clinical Entity ◽  
Review Of The Literature ◽  
Fournier's Gangrene ◽  
Surgical Exploration ◽  
Prevotella Melaninogenica

Penile Fournier’s gangrene (FG) is very rare clinical entity, which is also known as penile necrotizing fasciitis or wet gangrene of the penis. It is associated with increased morbidity and mortality and in the majority of the described cases it affects not only penis but also the adjacent organs and tissues (e.g., bladder, muscles, rectum, testis, and scrotum). We report a rare case of a previously healthy 68-year-old male, who presented with acute isolated penile Fournier’s gangrene. Pus culture was identified with pathogens Enterococcus faecalis, Streptococcus gordonii, and Prevotella melaninogenica. Prompt surgical exploration, fluid resuscitation, antibiotic treatment, and diligent postoperative care are the cornerstone in the successful treatment of this emergency with high mortality.

scholarly journals Isolated Penile Fournier's Gangrene: A Rare Case

Cureus ◽  
2020 ◽  
Author(s):  
Orkun Batmaz ◽  
Murat Ucar ◽  
Ahmet E Caylan ◽  
İsmail B Gök ◽  
Veli Vural
Keyword(s):  
Rare Case ◽  
Fournier’S Gangrene ◽  
Fournier's Gangrene

scholarly journals Sliding inguinal hernia in a case of Fournier's gangrene: A rare case

2021 ◽  
Vol 11 (2) ◽  
pp. 106
Author(s):  
Vinaysheel Priyadarshi ◽  
Meghraj Kundan ◽  
Chintamani
Keyword(s):  
Inguinal Hernia ◽  
Rare Case ◽  
Fournier’S Gangrene ◽  
Fournier's Gangrene ◽  
Sliding Inguinal Hernia

scholarly journals Predisposition Factors Analysis for Fournier’s Gangrene Defects Closure Complication

2021 ◽  
Vol 5 (1) ◽  
pp. 13
Author(s):  
Bayu Fasi Bermani ◽  
Sitti Rizaliyana ◽  
Ira Handriani
Keyword(s):  
Risk Factors ◽  
Mortality Rate ◽  
Medical Records ◽  
Early Recognition ◽  
Severe Disease ◽  
Case Series ◽  
Fournier’S Gangrene ◽  
Defect Closure ◽  
Fournier's Gangrene ◽  
Fournier Gangrene

Background: Fournier’s gangrene is a rare and rapidly progressive, necrotizing fasciitis affecting the external genitalia and perineum. Based on the case series that have been reported, the incidence rate of this case is 88% with mortality rate of 20%-40%. The study aims to share our policy in managing Fournier’s gangrene and identifying risk factors that can affect the outcome of defect closure.Method: The medical records of 10 patients with Fournier’s gangrene who presented at the Dr. Soetomo Hospital Surabaya from January 2017 to December 2018 were reviewed retrospectively. We analyzed characteristics of the patients, risk factors, methods of defect closure, and case outcome. There are 10 Fournier’s gangrene patients at Dr. Soetomo Academic General Hospital from January 2017 to December 2018. We analyzed the patient’s medical records retrospectively on the patient’s characteristics, risk factors, method of closing Fournier’s gangrene defects, and the final outcome of the case.Results: There were ten men enrolled in the study, and the mean age was 49.3 ± 11.51 years. All patients received broad-spectrum antibiotic therapy, and extensive surgical excision. This study found that diabetes mellitus and uncontrolled patient blood sugar levels, statistically there is no effect on failure of defect closure in Fournier gangrene patients, but clinically, the relative risk value shows that blood glucose levels have a risk factor of 6 times. increasing the incidence of failure to close the Fournier gangrene defect.Conclusions: Fournier’s gangrene is still considered a severe disease with fairly high mortality rate. Early recognition of predisposition factors associated with invasive and aggressive treatment options is very important in efforts to to reduce morbidity.

scholarly journals Undiagnosed Behçet’s Disease Presenting as Fournier’s Gangrene in a Young Male

2021 ◽  
Vol 2021 ◽  
pp. 1-2
Author(s):  
Jasmine C. Winyard ◽  
Anton Wong ◽  
Hala Rashed ◽  
John K. Mellon
Keyword(s):  
Risk Factors ◽  
Behçet’S Disease ◽  
Behcet’S Disease ◽  
Behçet's Disease ◽  
Case Reports ◽  
Young Male ◽  
Paediatric Population ◽  
Fournier’S Gangrene ◽  
Fournier's Gangrene ◽  
Behcet's Disease

Behçet’s disease is rare, especially in the paediatric population. In this case, a healthy 16-year-old made presented with discrete scrotal ulcers and systemic illness. He was found to have Fournier’s gangrene and with subsequent investigation was diagnosed with Behçet’s disease as an underlying cause. A PubMed search reveals no similar case reports. His only risk factors for Fournier’s gangrene was his raised body mass index. His only risk factor for Behçet’s disease was his ethnic origin. An understanding of risk factors and epidemiology can raise suspicion of these rare pathologies.

scholarly journals Fournier’s Gangrene: 10-Year Experience of a Plastic Surgery and Burns Department at a Tertiary Hospital

2019 ◽  
Vol 32 (5) ◽  
pp. 368 ◽  
Author(s):  
João Mendes Louro ◽  
Miguel Albano ◽  
João Baltazar ◽  
Miguel Vaz ◽  
Carla Diogo ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Escherichia Coli ◽  
Length Of Stay ◽  
Plastic Surgery ◽  
Tertiary Hospital ◽  
Fournier’S Gangrene ◽  
Fournier's Gangrene ◽  
Fournier Gangrene ◽  
Number Of Patients ◽  
Reconstructive Techniques

Introduction: Fournier gangrene is a polymicrobial life threatening infection of perineal subcutaneous soft tissues with its point of origin in urologic, colorectal or skin diseases. Although more frequent in elderly and men, it can affect all genders and age groups. Perianal abscess, diabetes mellitus and Escherichia coli are the most frequent cause, predisposing comorbidity, and microorganism found in tissue culture analysis respectively. The objective of this study was to describe the experience of a Plastic Surgery Department of a tertiary Hospital in reconstructing Fournier’s gangrene perineal defects and its detailed demography.Material and Methods: The sample is composed of all patients with Fournier gangrene admitted in the Plastic Surgery and Burns Department. The authors retrospectively collected and analyzed demographic and clinical data during a period of 10 years including gender, age, length of stay, cause, number of debridements, predisposing factors, microbial culture results, surgical reconstructive techniques and its associated complications, additional surgical procedures and outcomes.Results: Fifteen patients were identified: 14 males (93%) and one female (7%); mean age was 66.9 years (range: 46 - 86); mean, length of stay was 46.8 days (range: 20 - 71 days) and mean number of debridements was 3.3 (range: 1 - 4). The most frequent predisposing factor was diabetes mellitus, the major cause was perianal (n = 2) and skin abscess (n = 2). Eight (53.3%) patients had no identifiable source of Fournier gangrene. Various types of reconstructive techniques were employed; and 5 additional surgical interventions (33.3%) were undertaken (one cystostomy, two orchidectomy, two ileostomy); six patients (40%) presented reconstructive technique complications with adequate final outcome.Discussion: In contrast with the literature, where Escherichia coli was the most frequently isolated agent, Staphylococcus aureus was the most frequent microorganism found in tissue biopsy/pus collection analysis. A higher than expected number of patients (n = 8) had no identifiable source of Fournier gangrene. This findings can be explained by the retrospective non-multicentre study limitation, with a potencial source of bias patients that were transferred from other hospitals in advanced stage, without point of origin of Fournier’s gangrene identified.Conclusion: Early recognition and extensive necrotic tissue debridement, along with prompt and adequate antimicrobial treatment, are the mainstay of Fournier gangrene management, thus reducing morbidity and mortality in these patients. Surgical reconstruction challenges derived from this condition should be addressed by specialized teams due to the risk of dysfunctional sequelae and conspicuous deformities. Taking in account the single-center and retrospective observational character of the present study, these premises require proper validation from a multicenter prospective study.

614 Fournier's gangrene: Prognostic aspects and predisposing risk factors

2013 ◽  
Vol 12 (1) ◽  
pp. e614
Author(s):  
G. Liguori ◽  
N. Pavan ◽  
A. Rinaldi ◽  
S. Bucci ◽  
M. Rizzo ◽  
...  
Keyword(s):  
Risk Factors ◽  
Fournier’S Gangrene ◽  
Fournier's Gangrene

scholarly journals Risk factors for mortality in fournier's gangrene in a general hospital: use of simplified founier gangrene severe index score (SFGSI)

2018 ◽  
Vol 44 (1) ◽  
pp. 95-101 ◽  
Author(s):  
Carlos Eugênio Lira Tenório ◽  
Salvador Vilar Correia Lima ◽  
Amanda Vasconcelos de Albuquerque ◽  
Mariana Pauferro Cavalcanti ◽  
Flávio Teles
Keyword(s):  
Risk Factors ◽  
General Hospital ◽  
Fournier’S Gangrene ◽  
Index Score ◽  
Fournier's Gangrene ◽  
Hospital Use
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