Fournier gangrene: our experience
Jiménez Verdejo, J.; Cózar Ibáñez, A.; Moreno Jiménez, J.; Del Olmo Escribano, M.; Pastor Cruz, F.; Garrido Salas, M.A.
Archivos Espanoles de Urologia 51(10): 1041-1044
1998
ISSN/ISBN: 0004-0614 PMID: 9951131 Document Number: 487206
Fournier's gangrene is a necrotizing fasciitis involving the genitoperineal region caused by the synergistic action of aerobic and anaerobic pathogens. It is a rapidly progressing disease and carries a high mortality. Our experience with Fournier's gangrene is presented. Herein we describe 11 cases of Fournier's gangrene that were diagnosed and treated from 1991 to 1996. The most important predisposing factor was diabetes mellitus and the most common triggering factor was a perianal condition. The survival rate was high (81%) and can be ascribed to early diagnosis, aggressive and rapid surgical treatment with debridement, resection of the necrotic areas, drainage, simultaneous broad spectrum antibiotic therapy and frequent local treatment.