Diagnosis and Treatment of Fournier Gangrene in Secondary Hospital; A Report of Two Cases

Abstract

Fournier Gangrene (FG) is a specific form of necrotizing fasciitis that localized on genital and perianal, although it is rare but it is progressively fast and potentially fatal. The incidence of FG is 1.6 cases per 100,000 males, with a case fatality rate of 7.5%. Proper diagnosis and management are very important to avoid serious complications. Early debridement, broad-spectrum antibiotics and immediate supportive therapy, can reduce mortality. The objective is reporting two cases of FG who were admitted to a secondary hospital and what is the best management based on our setting. The method is qualitative observational study. The material collected through direct interview and from medical record. The best management for our setting was rapid diagnosis and followed by prompt debridement.

clinical study of Fournier’s gangrene tertiary care center government medical college, Nizamabad

“…Fournier's gangrene (FG) is an uncommon, fulminant necrotizing fasciitis affecting the perineum, perianal, and vaginal areas that can progress up to the abdominal wall between the fascial planes [1]. FG initially defined the syndrome as a sickness of young people with no known etiology [2]. It is caused by a synergistic action of aerobic and anaerobic bacteria in a polymicrobial illness [3][4][5].…”