Fournier gangrene
Fournier Gangrene
Fournier Gangrene (pronounced: for-nyay gang-green) is a rare and often severe type of necrotizing fasciitis or gangrene that affects the genital and perineal regions.
Etymology
The condition is named after Jean-Alfred Fournier, a French venereologist who first described the disease in young men in 1883.
Definition
Fournier Gangrene is a life-threatening necrotic infection that involves the soft tissue layers of the male or female genitalia and/or perineum. It is characterized by a sudden onset and rapid progression, and it is often associated with significant morbidity and mortality.
Symptoms
The initial symptoms of Fournier Gangrene may include pain and swelling in the genital area, fever, and general malaise. As the condition progresses, the affected skin may become necrotic, leading to the development of gangrene.
Causes
Fournier Gangrene is typically caused by a mixed infection of both aerobic and anaerobic bacteria. The most common organisms involved are Escherichia coli, Klebsiella pneumoniae, Streptococcus species, and Bacteroides species. The infection often begins in a site of local trauma or a pre-existing infection such as a urinary tract infection or an abscess.
Treatment
The treatment of Fournier Gangrene involves aggressive surgical debridement of the necrotic tissue, broad-spectrum antibiotic therapy, and supportive care. In severe cases, reconstructive surgery may be required after the infection has been controlled.
Related Terms
- Necrotizing fasciitis: A severe type of soft tissue infection that causes tissue death (necrosis).
- Gangrene: The death of body tissue due to a lack of blood flow or a bacterial infection.
- Perineum: The area between the anus and the genitals.
- Debridement: The removal of damaged tissue or foreign objects from a wound.
External links
- Medical encyclopedia article on Fournier gangrene
- Wikipedia's article - Fournier gangrene
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