Four Cases of the Fournier's Gangrene.
- Author:
Sung Won LEE
1
;
Yung Bae LEE
;
Moon Soo KANG
;
Myung Kook SHIN
;
Dong Myung SHIN
Author Information
1. Red Cross Hospital, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Fournier's gangrene
- MeSH:
Abscess;
Calculi;
Diabetes Mellitus;
Fournier Gangrene*;
Gangrene;
Genitalia;
Humans;
Liver Cirrhosis;
Male;
Mycobacterium tuberculosis;
Paraplegia;
Pressure Ulcer;
Proteus;
Scrotum;
Spondylitis;
Streptococcus;
Thromboangiitis Obliterans
- From:Korean Journal of Urology
1989;30(3):442-446
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Fournier described five patients with gangrene of male external genitalia in 1883 and emphasized three characteristics: (1) abrupt onset in young healthy male, (2) rapid progression to gangrene,(3) absence of discernible cause. But more recent reports described genital gangrene as occurring in any age group and 4 patients in our cases, the mean age was 46 years with an age range of 31 to 59 years. Predisposing causes were as follows: case 1. prostatic calculi, Buerger's disease, case 2, perianal abscess, case 3, diabetes mellitus, case 4, tuberculous spondylitis accompanied by paraplegia and bed sores, liver cirrhosis. The duration of symptoms prior to the development of gangrene varied between 4 to 10 days. The cultured organisms were as follows : case 1. Alpha-hemolytic streptococcus, case 2. E. coli, Alpha-hemolytic streptococcus case 3. Alpha-hemolytic streptococcus, case 4, Mycobacterium tuberculosis, proteus species. Reconstructive surgery of defected scrotum was performed postoperative 8 to 41 days (mean 28.7) and total admission period was 25 to 83 days (mean 46 days).
