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Fournier's Gangrene - A Case Report with a Review of the Literature

Fournier's gangrene is a rare form of necrotizing fasciitis, also known as "flesh-eating disease." It cause extensive necrosis of skin, fascia, and subcutaneous of the external genitalia, perineal and perianal areas. The etiology is usually polymicrobial. Initial dermatological symptoms may be missing or mimicking erysipelas, cellulite or abscess. The disease is life-threatening with fulminant onset and prominent intoxication symptoms. Early diagnosis, complex treatment and urgent surgical debridement are crucial in reducing lethal outcome. We describe a case of a 38-year-old man with fever, erythema, edema and severe pain in his testicles and perineum 4 days before hospitalization. He was with poor general condition. The patient had a history of recent Covid-19 infection that worsened his metabolic syndrome and chronic pulmonary obstructive disease. Blood tests showed leukocytosis and extremely elevated C-reactive protein, and microbiological plating - beta streptococci and Staphylococcus aureus. Broad-spectrum antibiotics, aggressive debridement, adequate resuscitation and local treatment of the wound provided fast recovery and favourable outcome. An overview of the epidemiology, risk factors, etiological microorganisms, clinical picture, systemic and local complications, psychological problems, laboratory and imaging diagnostic methods of Fournier's gangrene is presented. Fournier’s gangrene and necrotizing fasciitis clinical risk assessment systems are also highlighted. Most appropriate therapeutic modalities are comprehensively discussed.

Fournier’s Gangrene, Life-Threatening Condition, Fasciotomy

APA Style

Hristo Mangarov, Valentina Broshtilova, Atanas Batashki, Svetlana Bezhanova, Yoanna Velevska, et al. (2023). Fournier's Gangrene - A Case Report with a Review of the Literature. International Journal of Clinical Dermatology, 6(2), 18-23. https://doi.org/10.11648/j.ijcd.20230602.12

ACS Style

Hristo Mangarov; Valentina Broshtilova; Atanas Batashki; Svetlana Bezhanova; Yoanna Velevska, et al. Fournier's Gangrene - A Case Report with a Review of the Literature. Int. J. Clin. Dermatol. 2023, 6(2), 18-23. doi: 10.11648/j.ijcd.20230602.12

AMA Style

Hristo Mangarov, Valentina Broshtilova, Atanas Batashki, Svetlana Bezhanova, Yoanna Velevska, et al. Fournier's Gangrene - A Case Report with a Review of the Literature. Int J Clin Dermatol. 2023;6(2):18-23. doi: 10.11648/j.ijcd.20230602.12

Copyright © 2023 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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