OBJECTIVE To evaluate risk factors for mortality in patients with Fournier's gangrene (FG), with emphasis in the Simplified Fournier Gangrene Severe Index Score (SFGSI). MATERIALS AND METHODS This was a cross-sectional study that was carried out from January 2010 to December 2014, with 124 patients treated for FG in a General Hospital. Several clinical and laboratory variables, including SFGS...

Gangrene of the skin is a very rare complication of chickenpox. Barenberg and Lewis (1927) saw one example in over 2,000 children and Wishik and Bullowa (1935) saw four examples in 2,534 children with chickenpox. The condition was probably first described by Stokes (1807), but was first discussed in some detail by Jonathan Hutchinson in 1882. The latter's paper is notable for the beautiful repr...

Address for correspondence: Mr P M Davison, Bangour General Hospital, Broxburn, West Lothian Acute neonatal gangrene is an uncommon but devastating event. It may follow the adjustments in circulation that occur after birth, which may lead to an embolus arising from a thrombus within the ductus arteriosus or from an extension of an umbilical artery thrombosis. ' Arterial blood sampling2 and comp...

BACKGROUND Gas gangrene is a relatively rare event that is typically associated with history of trauma. A non-traumatic history of gas gangrene has been associated with Clostridium septicum and cecal malignancy. CASE PRESENTATION We present a case of a 54-year-old male patient who presented with myonecrosis secondary to Clostridium septicum septicemia and an occult cecal carcinoma. CONCLUSI...

Gangrene of the extremities complicating diarrhoea and severe hypernatraemic dehydration occurred in 6 infants. This is a rare complication of gastroenteritis, and its association with hypernatraemia does not seem to have previously been emphasized. The increased blood viscosity resulting from serum hyperosmolarity may have been responsible for the gangrene, and studies in our patients suggeste...

Gas gangrene is a severe form of gangrene (tissue death) that usually is caused by Clostridium perfringens. It generally occurs at the site of trauma or a recent surgical wound. We report the case of a 45-year-old woman with sphenoid-ridged meningioma who received preoperative transarterial embolization with polyvinyl alcohol. The patient later developed an intratumoral C perfringens infection ...

INTRODUCTION Fournier's gangrene is a rare, rapidly progressive, necrotizing fasciitis of the external genitalia and perineum. Case series have shown a mortality rate of 20% to 40% with an incidence of as high as 88% in some reports. In this study we aimed to share our experience in the management of Fournier's gangrene and to identify risk factors that affect mortality. METHODS The medical r...

We read the case report published in the Medical Ultrasonography [1], on “Fournier’s Gangrene” by Matilsky et al with academic interest. It is appreciable that the authors have presented this rare case of necrotizing fasciitis using bedside ultrasound. However, CT scan of the abdomen and pelvis should be considered next for planned surgical management. We agree to the fact that the diagnosis of...

OBJECTIVES Identifying the factors affecting the outcome of patients with Fournier's Gangrene and assaying the accuracy of the Fournier Gangrene Severity Index (FGIS), the Uludag score (UdS), affected Body Surface Area (BSA) and the Laboratory Risk Indicator for Necrotizing Fasciitis (LRINEC) model as prognostic tools. MATERIALS AND METHODS Retrospective study involving all patients with Four...

BACKGROUND Fournier's gangrene is a bacterial infection characterized by necrotizing fasciitis, skin and soft tissue involvement, and eventually myositis of the perineal region. Aggressive debridement of devitalized tissue and overlying skin is of paramount importance, but often leaves large defects to be reconstructed. The present case reports successful extensive perineal defects coverage fol...