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Abstract

The commentator has provided insightful comments regarding the etiology and risk factors for Fournier's gangrene in our study. Cases of Fournier's gangrene caused by MRSA have only recently been reported and only in the form of patient case reports 1 Kalorin C.M. Tobin E.H. Community associated methicillin-resistant Staphylococcus aureus causing Fournier's gangrene and genital infections. J Urol. 2007; 177: 967-971 Abstract Full Text Full Text PDF PubMed Scopus (19) Google Scholar , 2 Burton M.J. Shah P. Swiatlo E. Community-acquired methicillin-resistant Staphylococcus aureus as a cause of Fournier's gangrene. Am J Med Sci. 2008; 335: 327-328 Crossref PubMed Scopus (16) Google Scholar , 3 Vaidyanathan S. Soni B.M. Hughes P.L. et al. Localised necrosis of scrotum (Fournier's gangrene) in a spinal cord injury patient—a case report. BMC Fam Pract. 2002; 3: 20 Crossref PubMed Scopus (15) Google Scholar and the study by Fajdic et al, 4 Fajdic J. Gotovac N. Hrgovic Z. Fournier gangrene: our approach and patients. Urol Int. 2011; 87: 186-191 Crossref PubMed Scopus (14) Google Scholar which makes the incidence difficult to determine. Similarly, Candida sp was infrequently reported in previous studies (single patient case report 5 Johnin K. Nakatoh M. Kadowaki T. et al. Fournier's gangrene caused by Candida species as the primary organism. Urology. 2000; 56: 153 Abstract Full Text Full Text PDF PubMed Google Scholar ). A recent contemporary study demonstrated Candida sp in 12% of Fournier's gangrene cases, similar to our 7.3%. 6 Morua A.G. Lopez J.A. Garcia J.D. et al. Fournier's gangrene: our experience in 5 years, bibliographic review and assessment of the Fournier's gangrene severity index. Arch Esp Urol. 2009; 62: 532-540 PubMed Google Scholar Editorial CommentUrologyVol. 81Issue 4PreviewThe article presents an assessment of microbiologic findings in patients with Fournier's gangrene. Full-Text PDF