Fournier's gangrene complicating perinal abscess: report of two cases.
Two cases of Fournier's gangrene in which toxemia and gangrene of the scrotum developed due to perianal abscesses are described. Cultures of anaerobic gram-negative Bacteroides with a mixed flora of Pseudomonas, E. coli and Proteus were obtained. Early diagnosis, wide and deep incisions, debridement of the necrotic tissue, and adequate antibiotic therapy can prevent a fatal outcome of this disease. A high mortality rate is still prevalent.
D000038:Abscess / Q000150:complications* / Q000382:microbiology; D000368:Aged; D001004:Anus Diseases / Q000150:complications* / Q000382:microbiology; D005734:Gangrene; D005832:Genital Diseases, Male / Q000209:etiology / Q000382:microbiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D012611:Scrotum / Q000382:microbiology / Q000473:pathology*; D013577:Syndrome; D014115:Toxemia / Q000209:etiology / Q000382:microbiology