Fournier’s Gangrene Of Penis – A Rare Case Report

Objective: Necrotizing fasciitis of the perinea, referred to as Fournier’s gangrene, is a necrotizing infection of the perinea. To the best of our knowledge, there is no report on the Fournier’s gangrene following an ant bite and this is a rare case report of this type. Case Presentation: In this rare case report we describe a 20-year-old man who developed Fournier’s gangrene following an ant bite which resulted in his death. He sustained numerous ant bites in the perinea. Subsequently, he suffered from itching of the area and had scratched the area frequently leading to dermal ulcers and laceration, pain, and swelling of the scrotal area followed by fever and diminished consciousness. Finally, he presented to the emergency room (ER) after 72 hours of ant bites with a shock. Physical examination revealed extensive necrosis of scrotum. The primary treatments including antibiotic therapy, normal saline solution, and dopamine were not effective. Conclusion: Even a simple nonpoisonous insect bite can lead to Fournier’s gangrene and death. Paying greater attention to the site of bite, especially in the perinea which is anatomically more susceptible to infection, observing hygienic principles, and quick access to healthcare centers may prevent the patient’s death.

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FOURNIER’S GANGRENE OF PENIS: A RARE CASE REPORT

Journal of Evolution of Medical and Dental Sciences ◽

10.14260/jemds/2014/4111 ◽

2014 ◽

Vol 3 (74) ◽

pp. 15625-15628

Author(s):

Jagadeeshwar Jagadeeshwar ◽

Ravichandar G ◽

Santosh B ◽

Srinivas N ◽

Narendra K V

Keyword(s):

Case Report ◽

Rare Case ◽

Fournier’S Gangrene ◽

Fournier's Gangrene ◽

Rare Case Report

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Triplicity—Threefold of Skull Base Tumor—Atypic Meningioma Sphenoidal Wing Left, Low-Grade Olfactory Neuroblastoma of Sphenoidal Sinuses, Neurinoma N VIII. SIN. Very Rare Case Report

10.1055/s-0040-1702688 ◽

2020 ◽

Author(s):

Jan Hemza

Keyword(s):

Case Report ◽

Skull Base ◽

Rare Case ◽

Olfactory Neuroblastoma ◽

Low Grade ◽

Skull Base Tumor ◽

Rare Case Report

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Fournier's gangrene as Amyand's hernia complication

Perspectives in Surgery ◽

10.33699/pis.2019.98.7.291-296 ◽

2019 ◽

Vol 98 (7) ◽

pp. 291-296

Keyword(s):

Case Report ◽

Case Reports ◽

Rare Condition ◽

Sporadic Case ◽

Fournier’S Gangrene ◽

Amyand’S Hernia ◽

Fournier's Gangrene ◽

Randomized Controlled Studies ◽

Based Medicine ◽

Hernia Complication

Introduction: Fournier’s gangrene is a rare but fast deteriorating and serious condition with high mortality. In most cases, it is characterized as necrotizing fasciitis of the perineum and external genitals. Amyand’s hernia is a rare condition where the appendix is contained in the sac of an inguinal hernia. Inflammatory alterations in the appendix account only for 0.1 % of the cases when Amyand’s hernia is verified. Fournier’s gangrene as a complication of a late diagnosis of appendicitis located in the inguinal canal is described in the literature as rare case reports. Case report: The case report of a 70-year-old patient with Fournier’s gangrene resulting from gangrenous appendicitis of Amyand’s hernia. Conclusion: Fournier’s gangrene as a complication of Amyand’s hernia is a rare condition. Only sporadic case reports thereof can be found in the literature. Because of the rarity of this pathology and the lack of randomized controlled studies, it is difficult to determine the optimal treatment according to the principles of evidence-based medicine. An appropriate approach for this condition appears to be the combination of guidelines developed in Amyand’s therapy according to Losanoff and Basson, along with the recommended “gold standard” therapy for Fournier’s gangrene. This means early and highly radical surgical debridement, adequate antibiotic therapy and intensive care.

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