A review of fourniers gangrene at a tertiary hospital

ABSTRACT

Fourniers gangrene is a fulminant, rapidly spreading infection of the scrotum that also involves the perineum, penis, and abdominal wall. Early report have noted that inspite of early consultations, many patients eventually succumb to sepsis. The mortality and morbidity rates in our series were lower as compared to other series and we attribute this favorable outcome to progressive initial care. Early recognition, early hemodynamic stabilization, antibiotic coverage for aerobes and anaerobes, and adequate surgical debridement followed by equally aggressive post-operative care were noted to alter the course of these patients.