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.
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.
Authors: Kathryn S Norton; Lester W Johnson; Travis Perry; Katina H Perry; James K Sehon; Gazi B Zibari Journal: Am Surg Date: 2002-08 Impact factor: 0.688
Authors: Orestis Ioannidis; Loukiani Kitsikosta; Dimitris Tatsis; Ioannis Skandalos; Aggeliki Cheva; Aikaterini Gkioti; Ioannis Varnalidis; Savvas Symeonidis; Natalia Antigoni Savvala; Styliani Parpoudi; George K Paraskevas; Manousos George Pramateftakis; Efstathios Kotidis; Ioannis Mantzoros; Konstantinos George Tsalis Journal: Front Surg Date: 2017-07-10
Authors: Antonio Luigi Pastore; Giovanni Palleschi; Andrea Ripoli; Luigi Silvestri; Antonino Leto; Domenico Autieri; Cristina Maggioni; Davide Moschese; Vincenzo Petrozza; Antonio Carbone Journal: J Med Case Rep Date: 2013-01-03