title: Fournier's gangrene of the penis in a 12-year-old patient secondary to phimosis.
abstract: We report a case of Fournier's gangrene in a 12-year-old boy from St. Boniface Hospital in Fond-des-Blancs, Haiti. Fournier's gangrene, a fulminant necrotizing fasciitis of the penis and scrotum, is a rare and life-threatening infection that requires hospitalization, broad-spectrum antibiotics, and surgical debridement.1-3 It is usually associated with impaired cellular immunity due to systemic disorders such as diabetes and liver disease.4,5 This patient had none of those risk factors, but had severe, longstanding phimosis, for which circumcision had been recommended many years before. This case illustrates how lack of access to basic surgical care for an easily treatable condition leads to advanced presentation of a severe disease process. [Full article available at http://rimed.org/rimedicaljournal-2016-12.asp].
authors.affiliation: St. Boniface Haiti Foundation, Fond-des-Blancs.
authors.forename: Luther
authors.initials: L
authors.lastname: Ward
authors.affiliation: Alpert Medical School of Brown University, Providence, Rhode Island.
authors.forename: Daniel
authors.initials: D
authors.lastname: Eisenson
authors.affiliation: Hopital Universitaire de Mirebalais, Mirebalais, Haiti.
authors.forename: Jean-Louis
authors.initials: JL
authors.lastname: Fils
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D002648:Child; D003646:Debridement; D018934:Fournier Gangrene / Q000628:therapy*; D006205:Haiti; D006801:Humans; D008297:Male; D010413:Penis / Q000601:surgery*; D010688:Phimosis / Q000150:complications*; D012611:Scrotum / Q000601:surgery*
chemical_list: D000900:Anti-Bacterial Agents
keywords: Fournier’s gangrene in pediatric patient; global surgery; lack of access to surgery; necrotizing fasciitis of the penis; phimosis