title: Neonatal Fournier's gangrene.
abstract: Necrotizing fasciitis of the perineum and external genitalia is a life-threatening infective gangrene, primarily seen in adults. It may be seen at any ages but it is rare in neonates and infants. Here, we report a case of Fournier's gangrene in a 21 day old male neonate who was treated aggressively with broad spectrum antibiotics and early surgical debridement with hemodynamic stabilization. Even though no obvious precipitating cause was identified, hygiene was thought to be the inciting factor. Early surgical debridement with appropriate antibiotics and aggressive supportive care gives good results and probably in our setting, to some extent, it is a preventable condition.
authors.affiliation: Department of Surgery, Sikkim Manipal Institute of Medical Sciences, Sikkim, India. subhajeetd@gmail.com
authors.forename: Subhajeet
authors.initials: S
authors.lastname: Dey
authors.forename: Kincho L
authors.initials: KL
authors.lastname: Bhutia
authors.forename: Anil K
authors.initials: AK
authors.lastname: Baruah
authors.forename: Bikram
authors.initials: B
authors.lastname: Kharga
authors.forename: Pradip K
authors.initials: PK
authors.lastname: Mohanta
authors.forename: Varun K
authors.initials: VK
authors.lastname: Singh
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D003646:Debridement / Q000379:methods*; D003937:Diagnosis, Differential; D018934:Fournier Gangrene / Q000175:diagnosis* / Q000628:therapy; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D012611:Scrotum
chemical_list: D000900:Anti-Bacterial Agents