title: [Localized Fournier's gangrene of the penis: a case report].
abstract: Fournier's gangrene is a rare disease with rapidly progressive necrotising fasciitis of the genital, perineal and perianal regions and leads to sepsis and death. We reported a case of localized Fournier's gangrene of the penis. A 23-year-old man suffered an abrasion of the penis during oral sex with a commercial sex worker. Because pain as well as redness and swelling appeared on the penile surface, he consulted the nearest hospital. Since Fournier's gangrene was suspected, he was admitted to our hospital. According to the clinical symptoms and diagnostic imaging by using magnetic resonance imaging, we diagnosed Fournier's gangrene. Immediately, we started broad-spectrum antibacterial chemotherapy and performed debridement. The postoperative course was good and then the open wound was closed with artificial corium and full thickness skin graft to avoid erectile disturbance.
authors.affiliation: Department of Urology, Kochi Medical School, Kochi university.
authors.forename: Takashi
authors.initials: T
authors.lastname: Anchi
authors.forename: Kenji
authors.initials: K
authors.lastname: Tamura
authors.forename: Keiji
authors.initials: K
authors.lastname: Inoue
authors.forename: Shingo
authors.initials: S
authors.lastname: Ashida
authors.forename: Masaharu
authors.initials: M
authors.lastname: Yasuda
authors.forename: Shinichi
authors.initials: S
authors.lastname: Kataoka
authors.forename: Keita
authors.initials: K
authors.lastname: Saito
authors.forename: Motone
authors.initials: M
authors.lastname: Kuriyama
authors.forename: Makoto
authors.initials: M
authors.lastname: Hiroi
authors.forename: Shiro
authors.initials: S
authors.lastname: Sasaguri
authors.forename: Taro
authors.initials: T
authors.lastname: Shuin
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D003646:Debridement; D018934:Fournier Gangrene / Q000175:diagnosis / Q000628:therapy*; D006801:Humans; D008297:Male; D010409:Penile Diseases / Q000175:diagnosis / Q000628:therapy*; D013290:Streptococcal Infections / Q000175:diagnosis / Q000628:therapy; D013297:Streptococcus pyogenes / Q000302:isolation & purification; D055815:Young Adult
chemical_list: D000900:Anti-Bacterial Agents