Fournier gangrene: Difference between revisions

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(Created page with "<section begin="urology" />'''Perineal necrotising soft tissue infection''', commonly called '''Fournier gangrene''', is a necrotising soft tissue infection occuring in the perineum, scrotum, and penis. It's a polymicrobial infection with bacteria entering the region through abscess, fissure, fistula, colon perforation, etc. It's more common in immunocompromised people. Fournier gangrene is a urological emergency as it has a high (20%) mortality and requires urgent trea...")
 
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<section begin="urology" />'''Perineal necrotising soft tissue infection''', commonly called '''Fournier gangrene''', is a necrotising soft tissue infection occuring in the perineum, scrotum, and penis. It's a polymicrobial infection with bacteria entering the region through abscess, fissure, fistula, colon perforation, etc. It's more common in immunocompromised people.
<section begin="urology" />'''Perineal necrotising soft tissue infection''', commonly called '''Fournier gangrene''', is a necrotising soft tissue infection occuring in the perineum, scrotum, and penis. It's a polymicrobial infection with bacteria entering the region through abscess, fissure, fistula, colon perforation, etc. It's more common in immunocompromised people. It's a rare cause of [[acute scrotum]].


Fournier gangrene is a urological emergency as it has a high (20%) mortality and requires urgent treatment to improve prognosis.
Fournier gangrene is a urological emergency as it has a high (20%) mortality and requires urgent treatment to improve prognosis.

Latest revision as of 10:38, 26 September 2024

Perineal necrotising soft tissue infection, commonly called Fournier gangrene, is a necrotising soft tissue infection occuring in the perineum, scrotum, and penis. It's a polymicrobial infection with bacteria entering the region through abscess, fissure, fistula, colon perforation, etc. It's more common in immunocompromised people. It's a rare cause of acute scrotum.

Fournier gangrene is a urological emergency as it has a high (20%) mortality and requires urgent treatment to improve prognosis.

Clinical features

  • Pain
  • Foul smell
  • Skin necrosis
  • Fever
  • Sepsis

Management

  • Wide spectrum antibiotic therapy
    • Against both aerobes and anaerobes
  • Suprapubic catheter (to relieve the infected area)
  • Surgical excision and debridement
  • Hyperbaric oxygen therapy