Neonatal Fournier's gangrene.
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.
Dey
Subhajeet
S
Department of Surgery, Sikkim Manipal Institute of Medical Sciences, Sikkim, India. subhajeetd@gmail.com
Bhutia
Kincho L
KL
Baruah
Anil K
AK
Kharga
Bikram
B
Mohanta
Pradip K
PK
Singh
Varun K
VK
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
D000900:Anti-Bacterial Agents