Abstract

Fournier's gangrene is a usually polymicrobial, necrotizing, life-threatening fasciitis of the perineal, genital and perianal region. It is a fulminant disease which can rapidly spread to the abdominal wall and cause a high mortality. It is important to diagnose the disease process as early as possible as when the tyreatment is delayed mortality rate is directly increased.

Highlights

  • Fournier's gangrene is a usually polymicrobial, necrotizing, lifethreatening fasciitis of the perineal, genital and perianal region. It is a fulminant disease which can rapidly spread to the abdominal wall and cause a high mortality

  • Laor et al established a prognostic index, the FGSI [Fournier’s Gangrene Severity Index] to determine the severity and prognosis of the disease in their patients [10,13].This index was validated by Yeniyol and Tuncer [10,14,15]

  • In studies by Yeniyol et al and Ulug et al, there was a strong correlation between an FGSI score of 9 and the mortality rate [p ≤ 0.0001] [14,15]

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Summary

Introduction

Fournier's gangrene is a usually polymicrobial, necrotizing, lifethreatening fasciitis of the perineal, genital and perianal region. It is a fulminant disease which can rapidly spread to the abdominal wall and cause a high mortality. Despite advances in treatment; overall mortality remains high [3,4,5]. Fournier’s gangrene was first described as an idiopathic, rapidly progressive disease.

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