Two Cases of Fournier's Gangrene.
- Author:
Hyun Jo KWON
1
;
Mi Yeon KIM
;
Young Min PARK
;
Hyung Ok KIM
;
Seong Taek OH
Author Information
1. Department of Dermatology, College of Medicine, The Catholic University of Korea, Seoul, Korea. yymmpark@hotmail.com
- Publication Type:Case Report
- Keywords:
Fournier's gangrene;
Necrotizing fasciitis;
Surgical drainage
- MeSH:
Diagnosis;
Drainage;
Erythema;
Fasciitis, Necrotizing;
Fournier Gangrene*;
Gangrene;
Humans;
Male;
Scrotum;
Sepsis;
Skin;
Thorax;
Urinary Tract Infections;
Young Adult
- From:Korean Journal of Dermatology
2006;44(1):127-129
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Fournier's gangrene is a form of necrotizing fasciitis of the perineal, genital or perianal region due to perianal infection, urinary tract infection or local trauma. Even though many patients may present with minor skin lesions in the early stages of the disease, the natural course of this necrotizing disease is rapid progression of gangrene, eventually resulting in sepsis and death. Therefore, rapid and accurate diagnosis is the most important factor for a successful outcome. We report two cases of Fournier's gangrene in a 21-year-old and 24-year-old male, both of whom commonly presented with painful swelling and tenderness of the scrotum. Although one man showed a rapidly-spreading erythema and induration to the flank and lateral chest, they were both successfully treated with early antibiotic therapy and surgical drainage.