Fournier's gangrene is a necrotizing, life-threatening fasciitis of the perineal, genital and perianal region which can spread to the abdominal wall, causing soft-tissue necrosis and sepsis. It is usually a polymicrobial infection. The prevalence of the disease is low, but the mortality rate remains high. Several urogenital and anorectal diseases, as well as diabetes mellitus and conditions ass...

BACKGROUND The objective of this study was to compare the outcome of patients presenting with heel ulcers or gangrene (HEEL group) with those having lesions in other parts of the foot (non-HEEL group). METHODS Treatment and outcomes of all HEEL and non-HEEL patients between June 2001 and October 2006 were compared. RESULTS Three hundred eight patients were treated (71 HEEL and 237 non-HEEL)...

GANGRENE and eyanosis of an extremity, due to thrombophlebitis with massive venous occlusions, is an uncommon condition and is often confused with primary arterial oeclusive disease. With massive venous occlusion and the associated arterial venospasm the blood flow may be so impeded to an extremity that cyanosis and eventually gangrene may occur. The recognition of this is important, since this...

BACKGROUND Symmetrical peripheral gangrene is usually associated with underlying medical problems and it is seldom seen in pregnancy. Sepsis though common in a setting of delivery by unskilled midwife is rarely accompanied by symmetrical gangrene. CASE PRESENTATION We report a case of symmetrical peripheral gangrene which occurred in the winter, triggered possibly by sepsis and a single dose ...

Symmetrical peripheral gangrene (SPG) is an uncommon but devastating complication in critically ill patients with a high mortality. It is seen in a wide variety of medical conditions, presenting as symmetrical gangrene of two or more extremities without large vessel obstruction. We hereby report a 65-year-old woman diagnosed of having E. coli bacteremia with urosepsis, who presented with acute ...

BACKGROUND Fourniers gangrene caused by synergic aerobic and anaerobic organism is a life threatening disorder. METHODS The medical records of 8 among 839 patients admitted to imam ali general hospital Zahedan university of Medical Sciences with fourniers gangrene during the 10 months period between 2012 and 2013 were reviewed. RESULTS The most common etiology and presentation were abscess ...

Clostridium perfringens is a common cause of the fatal disease gas gangrene (myonecrosis). Established gas gangrene is notable for a profound absence of neutrophils and monocytic cells (phagocytes), and it has been suggested that the bactericidal activities of these cells play an insignificant role in controlling the progression of the infection. However, large inocula of bacteria are needed to...

Fournier’s gangrene is an uncommon form of necrotizing fasciitis in children. It needs prompt diagnosis and treatment to avoid the high morbidity and mortality. In the present study we are reporting a 3 months old infant with Fournier’s gangrene predisposed by diaper rash due to poor hygiene. The infant was treated by debridement and primary repair with a good outcome.

A fifty-nine year old Indian male was admitted with pain and swelling of 5 days in the scrotum. He had a swollen scrotum of 14 x 10 ems. with gangrene over its anterior, lateral and posterior surfaces, and discharging serosanguineous foul smelling fluid from its cracked surfaces. The penis was oedematous without evidence of gangrene (Fig. 1). The groins had fungal infection. Two days after admi...

Gas gangrene is a necrotic infection of soft tissue associated with high mortality, often necessitating amputation in order to control the infection. Herein we present a case of gas gangrene of the arm in an intravenous drug user with a history of intramuscular injections with normal saline in the shoulder used to provoke pain for recovery after drug induced coma. The patient was early treated ...