View enhanced pdf access article on wiley online library html view. Fourniers gangrene is a severe lifethreatening infection involving the perianal area, perineum, and external genitalia. Fourniers gangrene caused by streptococcus anginosus, a. It progresses rapidly and its etiology is polymicrobial. This is a retrospective study of all the patients diagnosed and surgically treated for fournier. Profile of patients with fourniers gangrene and their. This entity is still associated with a high mortality rate despite improvements in antibiotic and surgical treatment. Fourniers gangrene is a devastating infection, which. Fournier s disease is a potentially fatal, acute, gangrenous infection of the scrotum, penis or perineum associated with a synergistic bacterial infection of the subcutaneous fat and superficial fascia. Ct not only helps evaluate the perineal structures that can become involved by fournier. Fournier s gangrene is a necrotizing fasciitis of the genital area.
Between may and february 18 patients with the diagnosis of post radical prostatectomy urinary incontinence underwent fourmier of the pelvic floor. It demands prompt recognition, critical care therapy, surgical therapy. Fournier s gangrene fg is the necrotizing fasciitis of the perineum and genital area. Clinical profile of patients with fourniers syndrome in a. Fourniers gangrene caused by streptococcus anginosus, a rare etiologic agent. The clinical records of 70 patients treated for fournier s gangrene were evaluated retrospectively to determine prognostic indices and to stress fournier. Etiology of fournier gangrene as a prognostic factor in mortality. Fournier gangrene is a type of necrotizing fasciitis or gangrene affecting the external genitalia or perineum. It commonly occurs in older men, but it can also occur in women and children. Although the diagnosis of fournier gangrene is often made clinically, emergency computed tomography ct can lead to early diagnosis with accurate assessment of disease extent. The objective of this study was to assess risk factors for mortality. Prognostic factors in fournier gangrene ruiztovar et al.