title: Fournier's gangrene caused by Candida species as the primary organism.
abstract: Fournier's gangrene is a rare entity caused by polymicrobial aerobic and anaerobic bacteria. We report a case of Fournier's gangrene caused by Candida as the primary organism. A 65-year-old man presented with perineal soft-tissue infections. He underwent surgical debridement and suprapubic cystostomy with both antifungal and antimicrobial therapy. The histopathologic examination revealed necrotizing fasciitis with Candida species as the sole initial pathogen. The case suggests that primary fungal pathogens should be considered as a causative organism of Fournier's gangrene.
authors.affiliation: Department of Urology, Uji Tokushukai Hospital, Kyoto, Japan.
authors.forename: K
authors.initials: K
authors.lastname: Johnin
authors.forename: M
authors.initials: M
authors.lastname: Nakatoh
authors.forename: T
authors.initials: T
authors.lastname: Kadowaki
authors.forename: M
authors.initials: M
authors.lastname: Kushima
authors.forename: S
authors.initials: S
authors.lastname: Koizumi
authors.forename: Y
authors.initials: Y
authors.lastname: Okada
mesh_terms: D000368:Aged; D002177:Candidiasis; D018934:Fournier Gangrene / Q000382:microbiology*; D006801:Humans; D008297:Male; D010502:Perineum