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Fournier's gangrene: a prospective study of 57 patients with special reference to validity of Fournier's gangrene severity index in predicting the outcome and mortality

“…The gangrenous process will lead to drainage of the affected areas and demarcation between viable and dead tissue. 17 In present study most of the patients were admitted with complaint of erythema, perianal or scrotal swelling, serous discharge, pain, and fever ( Figure 1, 2, 3). It is important to recognize, that patients in the early stages can present with minimal cutaneous manifestations of the underlying infection, making prompt diagnosis difficult.…”

“…They found that the duration of symptoms before presentation was statistically important. 17 Out of the nine parameters, temperature, heart rate and respiratory rate were considered to be the most important by these authors. In patients who died, however, all the parameters were abnormal.…”

Fournier’s Gangrene – Current Concepts

“…However, in a study by Ulug et al the mean age of survivors was 53.95 + 21.49 years, compared to 57.20 + 12.94 years in non-survivors, with the difference being not statistically significant (Ulug et al, 2009). Other researchers also found no statistically significant difference in the age of survivors and non-survivors (Ersay et al, 2007;Tuncel et al, 2006;Yeniyol et al, 2004).…”

“…Mortality. Despite the progress in medical care for FG patients, the mortality rate reported in the literature remains high -most often 20-40%, but ranges from 4% to 80% (Benjelloun et al, 2013;Capitan Manjon et al, 2003;Champion, 2007;Clayton et al, 1990;Eke, 2000;Ersay et al, 2007;Gołąb et al, 2001;Jeong et al, 2005;Kara et al, 2009;Kuo et al, 2007;Laor et al, 1995;Mallikarjuna et al, 2012;Palmer et al, 2005;Pawlowski et al, 2004;Silva et al, 2002;Smith et al, 1998;Sohu et al, 2013;Tahmaz et al, 2006;Thwaini et al, 2006;Tuncel et al, 2006;Ulug et al, 2009;Yeniyol et al, 2004). Sorensen et al reported an overall populationbased fatality rate of 7.5%, in a group of 1680 patients, which was lower than reported from tertiary care hospitals (Sorensen et al, 2009).…”

“…It was concluded that a score > 9 was associated with a 75% probability of death of a patient, while a score of < 9 corresponded to a 78% probability of survival (Laor et al, 1995). Yeniyol et al confirmed FGSI usefulness as a prognostic index in FG patients -score for survivors was 3.0 + 1.8, compared to 12 + 2.4 for non-survivors (Yeniyol et al, 2004). Ulug et al retrospectively assessed the FGSI score in a group of 27 patients and also concluded that it should be used in a clinical evaluation of FG patients (Ulug et al, 2009).…”