title: Clinical characteristics and outcome of management of Fournier's gangrene at the Lagos State University Teaching Hospital, Ikeja, Lagos, Nigeria.
abstract: BACKGROUND
  Fournier's gangrene (FG) though a rare condition can be associated with significant mortality. There are few reports in our environment documenting the outcome of management of the condition. The aim of the following study was to describe the clinical characteristics and outcome of management of patients with FG in a tertiary hospital in Southwest Nigeria.
  
  
  METHODS
  The clinical records of patients who presented with FG at a tertriary hospital over a 5 year period were reviewed.
  
  
  RESULTS
  A total of 11 cases were reviewed and all patients were male. The scrotum alone was the most common site of involvement (54.5%). Late presentation was common with 9.6 days (range 1-21 days) being the average duration between the onset of symptoms and presentation at the hospital. Most of the patients (63.6%) did not have any identifiable systemic predisposing factor. There was no mortality or testicular loss recorded.
  
  
  CONCLUSIONS
  Patients with FG still present late in our environment. However, appropriate aggressive treatment can help ameliorate the associated mortality and morbidity even in a resource poor setting.
authors.affiliation: Department of Surgery, Urology Division, Lagos State University Teaching Hospital, Ikeja, Lagos, Nigeria.
authors.forename: Olufunmilade A
authors.initials: OA
authors.lastname: Omisanjo
authors.forename: M J
authors.initials: MJ
authors.lastname: Bioku
authors.forename: S O
authors.initials: SO
authors.lastname: Ikuerowo
authors.forename: G A
authors.initials: GA
authors.lastname: Sule
authors.forename: J O
authors.initials: JO
authors.lastname: Esho
mesh_terms: D000328:Adult; D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D003646:Debridement; D057210:Delayed Diagnosis; D019468:Disease Management; D018934:Fournier Gangrene / Q000175:diagnosis / Q000453:epidemiology* / Q000209:etiology* / Q000628:therapy; D006784:Hospitals, Teaching; D006801:Humans; D008297:Male; D008875:Middle Aged; D009549:Nigeria / Q000453:epidemiology; D012189:Retrospective Studies; D012307:Risk Factors; D012611:Scrotum; D013997:Time Factors; D016896:Treatment Outcome; D014945:Wound Healing
chemical_list: D000900:Anti-Bacterial Agents