Fournier’s Gangrene: A Novel Approach and Pushing the Envelope to a Case of Abdominoperineal Necrotizing Soft Tissue Infection in Peripheral Hospital Setup and Review of Literature

Abstract

Introduction: Fournier’s gangrene is a rapidly progressive necrotizing soft tissue infection with very high mortality and is due to evolving synergistic polymicrobial infections of aerobes and anaerobes in perineum and genital area. Multiple predisposing factors include diabetes mellitus, alcoholism, immunosuppression, renal and hepatic disease. In the vast majority of cases, scrotum is most commonly affected. Case Presentation: The prognosis of the disease is not limited to the patient’s age, disease extent, and comorbidities. Treating such cases is always challenging for a surgeon and requires high expertise and quick decision. Conclusions: The aim of this report is to share our experience of a multimodal and multidisciplinary approach to this disease in peripheral hospital with resource constraints.