[Fournier's gangrene. Case report and review of the literature].

Fournier's gangrene is a rare condition, far from being 'idiopathic', which must be taken seriously and which is, although at first manifesting itself only locally, a generalized condition with high mortality and--unless recognized--taking a rapid course with lethal outcome. Many risk factors have been recognized which favor an often lethal outcome. Although oftentimes not recognized, a port of entry is always present and haemolytic streptococci are as a rule involved. Since Fournier the age limit has moved to the 5th and 6th decades. Early recognition, prompt and aggressive surgical treatment and antibiotic coverage are mandatory to offer patients a chance to survive.