Fournier's gangrene is a rapidly progressing necrotizing fasciitis involving the perineal, perianal, or genital regions and constitutes a true surgical emergency with a potentially high mortality rate. Although the diagnosis of Fournier's gangrene is often made clinically, emergency ultrasonography and computed tomography lead to an early diagnosis with accurate assessment of disease extent. Th...

Systemic necrotizing vasculitis is uncommon in children and may be rarely associated with gangrene. We describe a 3-yr-old girl with parvovirus B19-induced necrotizing vasculitis whose digital gangrene was successfully treated with iloprost, a prostacyclin analogue.

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introduction cutaneous mucormycosis is a rare opportunistic infection caused by zygomycetes class of fungi that is often fatal, requiring aggressive local control as well as systemic therapy. few cases of mucormycosis were described in patients with liver cirrhosis, mostly rhino-orbital. to our knowledge, only two cases of upper extremity involvement was reported in cirrhosis while a few cases ...

W e report the unusual case of a 60-year-old-man presenting with left lower limb venous gangrene caused by an aorto-caval fistula. There was associated bilateral lower limb and scrotal oedema. In this case a ruptured aortic aneurysm with acute fistulation into the vena cava (fig 1) was repaired in the conventional manner. However, the patient underwent above-knee amputation of irreversible veno...

A case of an 11-year-old prepubertal girl with Fournier's gangrene is presented. The diagnosis was posed after the disease had progressed to the typical clinical picture of frank gangrene. A benign viral infection, common warts, possibly represents the initiating event of the development of this necrotizing soft tissue infection. The development of childhood Fournier's gangrene in association w...

This paper analyzes the syndrome of symmetrical digital gangrene that results from various pathologic processes. If a group of such patients is closely studied, it is apparent that among those who have suffered a sudden and widespread occlusion of the small arteries of the hands and feet some may be grouped apart by reason of the single nature of the attack and the good prognosis. Eleven such e...

INTRODUCTION Symmetrical peripheral gangrene is an uncommon but devastating complication in critically ill patients, and it has a high mortality. It is seen in a wide variety of medical conditions, presenting as symmetrical gangrene of two or more extremities without large blood vessel obstruction. CASE PRESENTATION We report a case of a 44-year-old Chinese man who was diagnosed with alcohol-...

Peripheral gangrene is, fortunately, a very rare complication of pregnancy and the puerperium. Stein (1916) describes two personal cases and reviews the literature on the subject. In both the cases he describes puerperal sepsis was present ; a severe infection in one patient in whom symmetrical dry gangrene involved both feet. He suggests that the symmetrical gangrene was caused by a thrombus m...