Fournier's gangrene associated with sparganosis in the scrotum.
Fournier's gangrene is a necrotizing fasciitis of the scrotum or perineum that may extend by way of the fascial planes to the penis and the anterior abdominal wall up to the clavicles, buttocks, or lower extremities. It is a life-threatening progressive disease that requires aggressive antibiotic therapy and early radical debridement. Sparganosis is a parasitic infection that occurs principally in cats and dogs, but human infestations have been reported, albeit rarely. Recently, we experienced a case of Fournier's gangrene associated with sparganosis in the scrotum, which was treated with antibiotics and extensive debridement including removal of a white, flat, shiny sparganum worm.
Jeong
Hee Jong
HJ
Department of Urology, Wonkwang University School of Medicine and Hospital, Iksan, Jeonbuk, South Korea.
D000437:Alcoholism / Q000150:complications; D000583:Amikacin / Q000627:therapeutic use; D000818:Animals; D002437:Cefazolin / Q000627:therapeutic use; D003646:Debridement; D003924:Diabetes Mellitus, Type 2 / Q000150:complications; D004359:Drug Therapy, Combination / Q000627:therapeutic use; D004927:Escherichia coli Infections / Q000150:complications* / Q000188:drug therapy / Q000601:surgery; D016266:Food Parasitology; D018934:Fournier Gangrene / Q000188:drug therapy / Q000209:etiology* / Q000601:surgery; D006801:Humans; D008297:Male; D008460:Meat / Q000469:parasitology; D008875:Middle Aged; D011898:Ranidae / Q000469:parasitology; D012611:Scrotum / Q000469:parasitology* / Q000601:surgery; D012911:Snakes / Q000469:parasitology; D013031:Sparganosis / Q000150:complications* / Q000188:drug therapy / Q000601:surgery; D013290:Streptococcal Infections / Q000150:complications* / Q000188:drug therapy / Q000601:surgery
D000583:Amikacin; D002437:Cefazolin