Polymicrobial genital gangrene (Fournier's gangrene) : clinical, microbiologic, and therapeutic features
Thadepalli, H.; Rao, B.; Datta, N.K.; Zinner, N.
Journal of the National Medical Association 74(3): 273-277
1982
ISSN/ISBN: 0027-9684 PMID: 7120464 Document Number: 193633
The microbiologic and therapeutic aspects of polymicrobial genital gangrene (Fournier's gangrene) studied in nine patients are presented. Seven patients had both aerobic and anaerobic bacteria isolated from the site of infection; four had Bacteroides and two, Clostridia. Broad-spectrum penicillins such as ticarcillin, mezlocillin, and piperacillin, or combined clindamycin and gentamicin therapy were used. One patient died of fulminating infection and eight patients were cured of their infections. Anaerobic bacteria and appropriate antibiotic therapy should be considered in all patients with genital gangrene.