Author/Authors :
Hosseini, Jalil Shohadae Tajrish Hospital - Shaheed Beheshti University of Medical Sciences, Tehran, Iran , Rahmani, Mohammadreza Shohadae Tajrish Hospital - Shaheed Beheshti University of Medical Sciences, Tehran, Iran , Razzaghi, Mohammadreza Shohadae Tajrish Hospital - Shaheed Beheshti University of Medical Sciences, Tehran, Iran , Barghi, Mohammadreza Shohadae Tajrish Hospital - Shaheed Beheshti University of Medical Sciences, Tehran, Iran , Karami, Hossein Shohadae Tajrish Hospital - Shaheed Beheshti University of Medical Sciences, Tehran, Iran , Hosseini Moghaddam, Mohammad Mehdi Urology and Nephrology Research Center - Shaheed Beheshti University of Medical Sciences, Tehran, Iran
Abstract :
Introduction: Fournier gangrene is a rare, rapidly progressive, necrotizing
fasciitis of the external genitalia, the perineum, or the abdominal wall that is
associated with high morbidity and mortality. In this series, we describe 12 patients
with Fournier gangrene who had presented to our medical center.
Materials and Methods: Twelve men had been diagnosed with Fournier
gangrene in Shohada-e- Tajrish hospital between March 2002 and September 2005.
Their medical records were reviewed and the Fournier Gangrene Severity Index
scores before and after the treatment were determined.
Results: Fifty percent of the patients were diabetic and their mean age was 58.2
± 17.8 years. The mean delay between the onset of the disease and the admission was
4.9 days and the mortality rate was 16.6%. The median Fournier Gangrene Severity
Index scores before the admission and at the time of discharge were 4.5 (range,
0 to 11) and 0 (range, 0 to 9), respectively (P = .005). One of the patients who died
had the scores of 11 and 9, respectively. Split-thickness skin graft was performed
for 5 patients (41.7%).
Conclusion: In Fournier gangrene, a rapid diagnosis and emergent surgical
intervention is crucial. The Fournier Gangrene Severity Index seems to be an
excellent tool for outcome prediction.
