Advances in Food Technology and Nutritional Sciences

Open journal

ISSN 2377-8350

Fournier’s Gangrene in a Diabetic Young Man

Soufiane Ennaciri*, Mustapha Ahsaini, and Moulay Hassan Farih

Received: February 18th, 2019; Accepted: March 7th, 2019; Published: March 14th, 2019

Fournier’s gangrene is a sometimes life-threatening form of necrotizing fasciitis that affects the genital, perineal, or perianal regions of the body. It is usually secondary to perirectal or periurethral infections associated with local trauma, operative procedures, or urinary tract disease.

We report the case of a 49-years-old man with uncontrolled type 2 diabetes (T2D), presented to the emergency department with painful swelling in the scrotum and perianal region. His temperature was 38.8 °C, his pulse 120 beats per minute, and his blood pressure 98/60 mmHg. The physical examination revealed necrosis in the external genitalia and erythema in the hypogastric region and perineum with induration and crepitus (Figure 1A). Computed tomography revealed a scrotal collection with subcutaneous emphysema in the lower abdomen, scrotum and perianal fascia. A diagnosis of Fournier’s gangrene was made.

The treatment consisted of a necrosectomy and drainage of collections with achieving discharge incisions in the perineum and lower abdomen. In addition to surgery, the patient received volume replacement and broad-spectrum intravenous antibiotics.

The evolution was favorable after several days of care (Figure 1B). After that the patient was entrusted to reconstruction surgery.

Figure 1. A. Pre-Operative Photo Showing External Genitalianecrosis and Hypogastric Erythema.
B. Post-Operative Photo After Excision of the Necrotic Tissue and Discharge Incisions

Figure 1. A. Pre-Operative Photo Showing External Genitalianecrosis and Hypogastric Erythema. B. Post-Operative Photo After Excision of the Necrotic Tissue and Discharge Incisions

CONSENT

The authors have received written informed consent from the patient.

CONFLICTS OF INTEREST

The authors declare that they have no conflicts of interest.

LATEST ARTICLES

Use of Black Soldier Fly (Hermetia illucens) Prepupae Reared on Organic Waste

review

2024 Mar

Isayas A. Kebede*, Haben F. Gebremeskel and Gelan D. Dahesa,
Figure 11. Risk Map for the Introduction of Ruminant Diseases at Borders

Original Research, peer reviewed

2024 Mar

Yassir Lezaar*, Mehdi Boumalik, Youssef Lhor, Moha El-Ayachi, Abelilah Araba and Mohammed Bouslikhane

Commentary, End-of-Life, Family Dynamics, palliative Care, peer reviewed

2024 Mar

Neil A. Nijhawan*, Rasha Mustafa and Aqeela Sheikh

Retrospective Study

2024 Mar

Shrenik J. Shah*, Abhishek Jha, Chirag Davara, Rushi Mistry and Kapil Kachhadiya

Attention, Disaster, Mindfulness, Original Research, peer reviewed

2024 Mar

Christina Hagen*, Lars Lien, Edvard Hauff and Trond Heir

review

2024 Mar

Isayas A. Kebede* and Gelan D. Dahesa

review

2024 Feb

Bekiyad S. Daro*; Yared A. Deneke, Jiregna G. Negasa and Ishetu N. Dibaba