Fournier’s Gangrene: Management in a Poor Resource Setting

Fournier’s gangrene is a rapidly progressive necrotizing infection of the external genitalia. We aim to share our clinical experience in the management of this disease. This was a retrospective study with data retrieved from the case note of patients seen with Fournier’s gangrene between January 201...

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Bibliographic Details
Published in:SN comprehensive clinical medicine 2020-02, Vol.2 (2), p.209-214
Main Authors: Odusanya, Benjamin Olasunkanmi, Saliu, Niran Abdulwaid, Salami, Olayinka Abdurraheem
Format: Article
Language:English
Subjects:
Medicine
Medicine & Public Health
Surgery
Topical Collection on Surgery
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Summary:Fournier’s gangrene is a rapidly progressive necrotizing infection of the external genitalia. We aim to share our clinical experience in the management of this disease. This was a retrospective study with data retrieved from the case note of patients seen with Fournier’s gangrene between January 2013 and April 2019. A total of 23 cases were analysed, who were all men, with a mean age of 47 years. The mean duration before presentation was 8 days. Perianal lesion was the most common aetiological factor occurring in 39% and the most common isolated organism was E. coli . The mean number of debridement was 1.5 while 2 patients required colostomy. The mortality rate was 9% in this study. Despite improvement in clinical care, Fournier’s gangrene remains a potentially fatal condition. Thus, aggressive resuscitation, debridement and judicious antibiotic therapy are required.
ISSN:2523-8973
2523-8973
DOI:10.1007/s42399-020-00226-y