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...

BACKGROUND Spontaneous gas gangrene is necrosis of muscles in the absence of trauma, causing an acutely painful and potentially fatal condition. However, the occurrence of this condition in Crohn's disease has been very rarely documented. CASE REPORT In this extremely rare case we describe an occurrence of spontaneous gas gangrene, in a known case of Crohn's disease. The patient presented wit...

Fournier's gangrene is a usually polymicrobial, necrotizing, life-threatening fasciitis of the perineal, genital and perianal region. It is a fulminant disease which can rapidly spread to the abdominal wall and cause a high mortality. It is important to diagnose the disease process as early as possible as when the tyreatment is delayed mortality rate is directly increased.

Fournier gangrene is a rapidly progressive necrotizing infection of the perineal and genital fascia, often polymicrobial. Severity is increased in older patients, diabetics and the immunocompromised. As in this case, the disease can have an indolent onset. Early recognition and aggressive treatment is important.

Case studies have indicated that bleomycin may cause ischemic ulceration and gangrene. A 40-year old male patient suffering from pain in his left foot for a week and his fifth toe had turned black. Three months ago, he had undergone surgery due to testicular anaplastic seminoma on his left testicle and had been given post-operative 2 cycles of bleomycin, etoposide and cisplatin chemotherapy. Th...

OBJECTIVES To study the spectrum of presentation and outcome of different treatment modalities in Fournier's gangrene. METHODS It's a prospective analysis of 73 diagnosed patients of Fournier's gangrene admitted and treated in surgical department of a public sector university from June 2000 to June 2008. All patients were admitted through casualty with varying proportions of necrotizing infec...