title: [Fournier's gangrene: report of 4 cases].
abstract: Fournier's gangrene is an infective necrotizing fasciitis of the perineal, genital or perianal region. We treated four cases of Fournier's gangrene from July 2002 to April 2003. All patients were male, ranging in age from 73-92 years old (80.5 +/- 6.5). They were admitted to our hospital complaining of perineal pain, scrotal swelling and high fever. Immediately, we started systemic chemotherapy with broad-spectrum antibiotics, and performed surgical debridements for all patients. Three patients made a full recovery, but one patient died of sepsis. These cases are presented with some notes on the relevant literature.
authors.affiliation: Department of Uroligy, Nagano Red Cross Hospital.
authors.forename: Yoshitomo
authors.initials: Y
authors.lastname: Kobori
authors.forename: Tomohiko
authors.initials: T
authors.lastname: Matsushita
authors.forename: Toshiyasu
authors.initials: T
authors.lastname: Amano
authors.forename: Katsuro
authors.initials: K
authors.lastname: Takemae
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D003646:Debridement; D013293:Enterococcus faecalis; D004927:Escherichia coli Infections / Q000188:drug therapy; D018934:Fournier Gangrene / Q000188:drug therapy / Q000601:surgery / Q000628:therapy*; D005832:Genital Diseases, Male / Q000188:drug therapy / Q000601:surgery / Q000628:therapy; D016908:Gram-Positive Bacterial Infections / Q000188:drug therapy; D006801:Humans; D008297:Male; D010502:Perineum; D012611:Scrotum
chemical_list: D000900:Anti-Bacterial Agents