Fournier's disease. Report of a case and review of the literature.
We report a case of Fournier's gangrene affecting a 77-year-old man. The patient was found to have decompensated diabetes mellitus that had been ignored before the onset of the disease. Several authors have described earlier a dramatic, explosive disease, leading to severe prostration within a few hours. Most of the recent cases, like this patient, have had a more insidious course, with symptoms beginning several days before hospitalization. Forty-five days after surgical debridement under spinal anesthesia and daily local treatment the scrotum was completely healed. The etiology and pathogenesis of this infrequent disease are discussed.
Porru
D
D
Department of Surgery, Ospedale Sirai, Carbonia (Ca), Italy.
Pasquale Chessa
P
P
D000368:Aged; D000900:Anti-Bacterial Agents; D003131:Combined Modality Therapy; D003646:Debridement; D048909:Diabetes Complications; D004359:Drug Therapy, Combination / Q000627:therapeutic use; D005734:Gangrene / Q000473:pathology; D005832:Genital Diseases, Male / Q000150:complications / Q000401:mortality / Q000473:pathology* / Q000628:therapy; D006801:Humans; D015994:Incidence; D008297:Male; D012611:Scrotum / Q000473:pathology*
D000900:Anti-Bacterial Agents