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Postgrad Med J. 2006 Aug;82(970):516-9.

Fournier's gangrene and its emergency management.

Author information

1
Barts and the London Hospitals NHS Trust, UK. iniziaj@hotmail.com

Abstract

Fournier's gangrene (FG) is a rare but life threatening disease. Although originally thought to be an idiopathic process, FG has been shown to have a predilection for patients with diabetes as well as long term alcohol misuse; however, it can also affect patients with non-obvious immune compromise. The nidus is usually located in the genitourinary tract, lower gastrointestinal tract, or skin. FG is a mixed infection caused by both aerobic and anaerobic bacterial flora. The development and progression of the gangrene is often fulminating and can rapidly cause multiple organ failure and death. Because of potential complications, it is important to diagnose the disease process as early as possible Although antibiotics and aggressive debridement have been broadly accepted as the standard treatment, the death rate remains high.

PMID:
16891442
PMCID:
PMC2585703
DOI:
10.1136/pgmj.2005.042069
[Indexed for MEDLINE]
Free PMC Article

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