Abstract
Background: Fournier’s gangrene is an aggressive form of necrotizing fascitis of the perineal, perianal or genital regions, caused by a polymicrobial infection that includes virulent organisms. Patients and methods: Eleven cases of Fournier’s gangrene were treated in our department during the last 20 years. Portals of entry were ischiorectal abscess, perirectal abscesses, scrotal abscess and trauma in the perianal area. The documents were analyzed according to clinical and epidemiologic patterns. Results: We dispensed systemic chemotherapy with broad-spectrum antibiotics, and performed surgical debridement for all patients. In addition, one patient was treated by local use of 100% oxygen, with excellent results in wound healing. All patients made a full recovery, except one who died of sepsis. Conclusion: These cases are presented with some notes underlying the reasons for the persisting incidence and mortality of this disease.
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References
Tazi K, Karmouni T and Fassi J (2001). Perineoscrotal gangrene: report of 51 cases. Diagnostic and therapeutic features. Ann Urol (Paris) 35(4): 229–233
Lamb RC and Juler GL (1983). Fournier’s gangrene of the scrotum. A poorly defined syndrome or a misnomer?. Arch Surg 118: 38–40
Stephens BJ, Lathrop JC, Rice WT and Gruenberg JC (1993). Fournier’s gangrene: historic (1764–1978) versus contemporary (1979–1988) differences in etiology and clinical importance. Am Surg 59: 149–154
Dietrich NA and Mason JH (1983). Fournier’s gangrene:a general surgery problem. World J Surg 7: 288–294
Atakan H, Kaplan M and Kaya E (2002). A life-threatening infection: Fourniers gangrene. Int Urol Nephrol 34(3): 387–392
Kiran P (2000). Fournier’s gangrene: A review of 1726 cases. Br J Surg 87(11): 1596
Cunningham BL, Nivatvongs S and Shons AR. (1979). Fournier’s syndrome following anorectal examination and mucosal biopsy. Dis Colon Rectum 22: 51–54
Korkut M, Icoz G and Dayangac M (2003). Outcome analysis in patients with Fourniers gangrene: report of 45 cases. Dis Colon Rectum 46(5): 649–652
Xeropotamos NS, Nousias VE and Kappas AM (2002). Fournier’s gangrene: diagnostic Approach and Therapeutic Challenge. Eur J Surg 168: 91–95
Gurdal M, Yusebas E and Tekin A (2003). Predisposing factors and treatment outcome in Fournier’s gangrene: analysis of 28 cases. Urol Int 70(4): 286–290
Villanueva-Saenz E, Martinez Hernadez M and Valdes Ovales M (2002). Experience in management of Fournier’s gangrene. Tech Coloproctol 6(1): 5–10
Norton S, Johnson W and Perry T (2002). Management of Fournier’s gangrene: An eleven year retrospective analysis of early recognition, diagnosis, and treatment. Am Surg 68(8): 709–713
Takanori O, Kazutoshi O and Masayasu T (2001). Fournier’s gangrene : Report of six cases. Surg Today 31: 553–556
Yaghan J, Al-Jaberi M and Bani-Hani I (2000). Fournier’s gangrene: changing face of the disease. Dis Colon Rectum 43(9): 1300–1308
Palmer LS, Winter HI and Tolia BM (1995). The limited impact of involved surface area and surgical debridement on surgical in Fournier’s gangrene. Br J Urol 76: 208–212
Oh C, Lee C and Jacobson J (1982). Necrotising fasciitis of perineum. Surgery 91: 49–53
Enriquez J, Moreno S and Devesa M (1987). Fournier’s syndrome of urogenital and anorectal origin. Dis Colon Rectum 30: 33–37
Kaiser R and Cerra F (1981). Progressive necrotising surgical infection-unfiled approach. J Trauma 21: 349–353
Efem SE (1993). Recent advances in the management of Fournier’s gangrene:preliminary observations. Surgery 113: 200–204
Gauperaa T, Sunsfjord A and Anderson BM (1995). Necrotising fasciitis and ischiorectal abscess. Case report. Eur J Surg 161: 211–212
Di Falco J, Guccione C and D’Annibale A (1986). Fournier’s gangrene following a perineal abscess. Dis Colon Rectum 29: 582–585
Johnson N (1990). Fournier’s gangrene and crepitus in the perineum. Br J Clin Pract 44: 293
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Safioleas, M., Stamatakos, M., Mouzopoulos, G. et al. Fournier’s gangrene: Exists and it is still lethal. Int Urol Nephrol 38, 653–657 (2006). https://doi.org/10.1007/s11255-005-2946-6
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DOI: https://doi.org/10.1007/s11255-005-2946-6