Acute necrotizing fascitis of the male genitalia (Fournire's gangrene).
- Author:
Moon Kee CHUNG
1
;
Jong Byung YOON
;
Se Jong SHIN
;
Sung Hyup CHOI
;
Jeng Gi KANG
;
Bo Hyun HAN
;
Kap Byung KIM
;
Hyun Yul RHEW
Author Information
1. Department of Urology, College of Medicine, Pusan National University, Korea.
- Publication Type:Original Article
- Keywords:
Necrotizing fascitis;
Founier's gangrene
- MeSH:
Diagnosis;
Fasciitis, Necrotizing*;
Gangrene;
Genitalia, Male*;
Humans;
Hypoalbuminemia;
Leukocytosis;
Liver Cirrhosis;
Male;
Male*;
Necrosis;
Prodromal Symptoms
- From:Korean Journal of Urology
1991;32(4):593-598
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
We reviewed 15 cases of necrotizing fascitis of the male genitalia. The clinical courses could be divided into two different types. In about one half of the patients the symptoms and signs progressed slowly within 122 weeks and in the remained they progressed rapidly. In the former, the prodromal signs were noted, usually low abdominal and inguinal pain. In 8 of fifteen patients, the locations of infectious focus were difficult to determine. The diagnosis were made after the development of scrotal necrosis in all of the cases. There were no differences in the causative pathogens comparing to 1hose of previous reports. The common underlying diseases were liver cirrhosis and diabetes. Hypoalbuminemia and leukocytosis were found in all. Of course, the strategy of treatment is same between two types, we would like to propose to use the term Fourier`s gangrene, a specific form of necrotizing fascitis, only to whose clinical course in acute and the location of primary infecious foci are obscure.
