Necrotizing fasciitis is a severe type of necrotizing soft tissue infection involving
the superficial fascia and subcutaneous tissues. Fournier gangrene, a type of necrotizing
fasciitis, affects the genitalia or perineum. Although a rare health condition, Fournier
gangrene can result in significant morbidity and unnecessary mortality following delay
in diagnosis and management. We provide a review of relevant presenting features to
aid diagnosis and allow timely surgical management of this serious infectious condition.
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to UrologyAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Gangrene foudroyante de la verge [over-whelming gangrene].Semin Med. 1883; 3: 345-347
- Sur une plaie contuse qui s'est terminee par le sphacele de la scrotum.J Med Chir Pharm. 1764; 20: 251-256
- Necrotizing fasciitis.Am Surg. 1952; 18: 416-431
- Investigation upon Nature, Causes and Treatment of Hospital Gangrene as It Prevailed in the Confederate Armies 1861-1865.US Sanitary Commission, New York, NY1871
- Fournier's gangrene: a review of 1726 cases.Br J Surg. 2000; 87: 718-728
- Fournier's gangrene: population based epidemiology and outcomes.J Urol. 2009; 181: 2120-2126
- Low-volume vs high-volume centers and management of Fournier's gangrene in Washington State.J Am Coll Surg. 2017; 224 (e271): 270-275
- Current concepts in the management of necrotizing fasciitis.Front Surg. 2014; 1: 36
- A contemporary analysis of Fournier gangrene using the National Surgical Quality Improvement Program.Urology. 2015; 85: 1052-1056
- The evaluation of microbiology and prognosis of Fournier's gangrene in past five years.Springerplus. 2015; 4: 14
- Epidemiological characteristics of Fournier's gangrene: a report of 71 patients.Urol Int. 2012; 89: 457-461
- The spectrum of presentation and management of Fournier's gangrene—an experience of 73 cases.J Pak Med Assoc. 2010; 60: 617-619
- Prognostic aspects, survival rate, and predisposing risk factors in patients with Fournier's gangrene and necrotizing soft tissue infections: evaluation of clinical outcome of 55 patients.Urol Int. 2012; 89: 173-179
- Fournier's gangrene: a retrospective clinical study on forty-one patients.ANZ J Surg. 2005; 75: 1055-1058
- New insights into the epidemiology and etiology of Fournier's gangrene: a review of 33 patients.Infection. 2009; 37: 306-312
- The evaluation of microbiology and Fournier's gangrene severity index in 27 patients.Int J Infect Dis. 2009; 13: e424-e430
- Pressure sores significantly increase the risk of developing a Fournier's gangrene in patients with spinal cord injury.Spinal Cord. 2011; 49: 1143-1146
- Fournier's gangrene—current concepts.Pol J Microbiol. 2014; 63: 267-273
- Necrotizing fasciitis of the perineum associated with a Bartholin abscess.Surg Infect (Larchmt). 2014; 15: 131-133
- Emergence of antibiotic-resistant bacteria in patients with Fournier gangrene.Surg Infect (Larchmt). 2015; 16: 165-168
- Bacteriology of necrotizing fasciitis.Am J Surg. 1977; 134: 52-57
- Necrotizing soft tissue infections: review and current concepts in treatment, systems of care, and outcomes.Curr Probl Surg. 2014; 51: 344-362
- Zygomycotic necrotizing fasciitis in immunocompetent patients: a series of 18 cases.Mod Pathol. 2006; 19: 1221-1226
- Early diagnosis of necrotizing fasciitis.Br J Surg. 2014; 101: e119-e125
- Recognition of risk factors and prognostic indicators in Fournier's gangrene.Crit Care Nurs Q. 2015; 38: 143-153
- The LRINEC (Laboratory Risk Indicator for Necrotizing Fasciitis) score: a tool for distinguishing necrotizing fasciitis from other soft tissue infections.Crit Care Med. 2004; 32: 1535-1541
- Using clinical pathways to aid in the diagnosis of necrotizing soft tissue infections synthesis of evidence.Worldviews Evid Based Nurs. 2012; 9: 88-99
- Evaluation of the utility of different scoring systems (FGSI, LRINEC and NLR) in the management of Fournier's gangrene.Int Urol Nephrol. 2015; 47: 243-248
- Outcome prediction in patients with Fournier's gangrene.J Urol. 1995; 154: 89-92
- Fournier gangrene: role of imaging.Radiographics. 2008; 28: 519-528
- Necrotizing soft-tissue infection: diagnosis and management.Clin Infect Dis. 2007; 44: 705-710
Article info
Publication history
Published online: November 13, 2017
Accepted:
October 28,
2017
Received:
October 6,
2017
Footnotes
Financial Disclosure: The authors declare that they have no relevant financial interests.
Identification
Copyright
© 2017 Elsevier Inc. All rights reserved.