Fournier's gangrene is a disease characterized by necrotizing fasciitis of the perineal
and genital region, resulting from synergistic polymicrobic infection. Regardless
of its primary cause, the clinical presentation varies from anorectal or genital pain
with minimal evidence of cutaneous necrosis, to a rapidly spreading necrosis of the
skin and soft tissue, to systemic sepsis without any apparent source of infection.
Fournier's gangrene is a surgical emergency, and because of the differences in clinical
presentation, patients may be initially encountered in various clinical settings.
Because delay in diagnosis and treatment of this condition can be fatal, it is important
not to overlook the symptoms, even if nonspecific. Once Fournier's gangrene is suspected,
prompt treatment is essential. Awareness of this condition is crucial in view of the
increasing population of immunosuppressed individuals in this country and the frequently
minimal nature of symptoms in this patient group.
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© 2002 Elsevier Science (USA). Published by Elsevier Inc. All rights reserved.
