A Case Report on Fournier’s Gangrene and its Management

Abstract

Fournier’s gangrene is an eruptive form of necrotizing fasciitis of the perineal & genital regions. General burden in population is 1.6 cases per 1,00,000 men per year. It is a flesh-eating infection where the bacteria kill the soft tissues, often quickly including muscles, nerves and blood vessels. It presents with scrotum pain & redness, tenderness or swollen perineal region along with rapid progression to gangrene and sloughing of tissues. Along with high fever spikes and leukocytosis which deteriorates to sepsis. The Route of infection is identifiable in 95% of cases which arises from anorectal, genito-urinary and cutaneous sources. The other risk factors include diabetes mellitus, morbid obesity, immune compromised, alcohol abuse, unprotected sex, masturbation, genital piercing, abscess and malignant neoplasms. However, in Healthy adults, the exact cause is unknown. Fournier’s Gangrene Severity Index (FGSI) is used to predict mortality risk. The basic treatment for Fournier’s gangrene includes an emergency surgical debridement with higher antibiotics therapy and ICU care. In this case report, we discussed a case of a young male of 24 years with necrotizing fasciitis of the perineal and genital regions, who was reconstructed and surgically managed in a two staged procedure with good outcome.