Fournier’s Gangrene of the Penis following a Human Bite Wound

Overholt, Tyler; Hajiran, Ali; Ueno, Cristiane M.; Zaslau, Stanley

doi:10.1155/2018/9798607

Cited by 4 publications

(3 citation statements)

References 8 publications

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“…Penile trauma and urethral stricture were suspected in two cases [3]. Penile injection of cocaine and human bite were reported in another study [4][5].…”

Section: Discussionmentioning

confidence: 97%

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Isolated Penile Fournier's Gangrene: A Rare Case

Batmaz

Uçar

Caylan

et al. 2020

Cureus

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“…Penile trauma and urethral stricture were suspected in two cases [3]. Penile injection of cocaine and human bite were reported in another study [4][5].…”

Section: Discussionmentioning

confidence: 97%

“…Panurethral necrosis was rarely reported. Long-term urethral catheterization of an immunocompromised patient was considered a risk factor in the reported cases [1][2][3][4][5][6].…”

Section: Discussionmentioning

confidence: 99%

Isolated Penile Fournier's Gangrene: A Rare Case

Batmaz

Uçar

Caylan

et al. 2020

Cureus

View full text Add to dashboard Cite

show abstract

“…There was purulent discharge, edematous tissues, with patches of necrotic tissues [7] . FG is a surgical emergency; the rapid initiation of therapy with broad spectrum antibiotics, wound irrigation and debridement, is of utmost importance, to avoid potentially fetal complications [8] .…”

Section: Introductionmentioning

confidence: 99%

Penile Necrotizing Fasciitis (Fournier's Gangrene) after Penile Prosthesis Implant in diabetic patient treated conservatively – A case report.

Kuwaijo

Elmagd

Mohan

2020

International Journal of Medical Arts

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Background: Penile abscess and necrotizing fasciitis are very rare. Diabetes mellitus is the common risk factors. In our practice, this is the first reported case of penile necrotizing fasciitis after penile prosthesis insertion. Aim of the work:We intended to present our case of penile necrotizing fasciitis treated conservatively. A written consent has been signed by the patient to release information for this study.Case description: Our patient is a 52 years old male, who had a history of painless skin loss of the penis [ventral aspect of the lower parts of the shaft] for 7 days. The skin necrosis started 21 days after implantation of penile prosthesis. He had controlled type-2 diabetes mellitus. No specific signs were detected by general examination. There was discrete tenderness on penile wound; which was 2.5*4.2 cm of skin loss, with white patches, purulent discharge, elevated edges and erythema. The management consisted of use of antibiotics [oral combination of amoxicillin-clavulanic acid and local fusidic acid] with 0.9% normal saline washout on regular intervals. There was excellent wound healing with minimal tissue loss. Conclusion:Our case report revealed that, the serious complication of necrotizing fasciitis may occur after implantation of penile prosthesis. Surgical intervention was not indicated and conservative medical treatment was successful.

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Management of Fournier’s gangrene during the Covid-19 pandemic era: make a virtue out of necessity

Paladini

Cochetti

Tancredi

et al. 2022

Basic Clin. Androl.

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Background Fournier’s gangrene (FG) is a necrotizing fasciitis caused by aerobic and anaerobic bacterial infection that involves genitalia and perineum. Males, in their 60 s, are more affected with 1.6 new cases/100.000/year. Main risk factors are diabetes, malignancy, inflammatory bowel disease. FG is a potentially lethal disease with a rapid and progressive involvement of subcutaneous and fascial plane. A multimodal approach with surgical debridement, antibiotic therapy, intensive support care, and hyperbaric oxygen therapy (HBOT) is often needed. We present the inpatient management of an FG case during the Covid-19 pandemic period. A narrative review of the Literature searching “Fournier’s gangrene”, “necrotizing fasciitis” on PubMed and Scopus was performed. Case presentation A 60 years old man affected by diabetes mellitus, with ileostomy after colectomy for ulcerative colitis, was admitted to our Emergency Department with fever and acute pain, edema, dyschromia of right hemiscrotum, penis, and perineal region. Computed tomography revealed air-gas content and fluid-edematous thickening of these regions. Fournier’s Gangrene Severity Index was 9. A prompt broad-spectrum antibiotic therapy with Piperacillin/Tazobactam, Imipenem and Daptomycin, surgical debridement of genitalia and perineal region with vital tissue exposure, were performed. Bedside daily surgical wound medications with fibrine debridement, normal saline and povidone-iodine solutions irrigation, iodoform and fatty gauze application, were performed until discharge on the 40th postoperative day. Every 3 days office-based medication with silver dressing, after normal saline and povidone-iodine irrigation and fibrinous tissue debridement, was performed until complete re-epithelialization of the scrotum on the 60th postoperative day. Conclusions FG is burdened by a high mortality rate, up to 30%. In the literature, HBOT could improve wound restoration and disease-specific survival. Unfortunately, in our center, we do not have HBOT. Moreover, one of the pandemic period problems was the patient’s displacement and outpatient hospital management. For all these reasons we decided for a conservative inpatient management. Daily cleaning of the surgical wound allowed to obtain its complete restoration avoiding surgical graft and hyperbaric oxygen chamber therapy, without foregoing optimal outcomes.

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Fournier’s Gangrene of the Penis following a Human Bite Wound

Cited by 4 publications

References 8 publications

Isolated Penile Fournier's Gangrene: A Rare Case

Isolated Penile Fournier's Gangrene: A Rare Case

Penile Necrotizing Fasciitis (Fournier's Gangrene) after Penile Prosthesis Implant in diabetic patient treated conservatively – A case report.

Management of Fournier’s gangrene during the Covid-19 pandemic era: make a virtue out of necessity

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