Infect Chemother.  2011 Feb;43(1):60-63. 10.3947/ic.2011.43.1.60.

A Case of Fournier's Gangrene Caused by Streptococcus anginosus

• Lee HJ
• Ko SC
• Kim SD
• Kim YJ
• Koo MS
• Kim MS
• Choi JP

• KMID: 2170335
• DOI: http://doi.org/10.3947/ic.2011.43.1.60

Abstract

Fournier's gangrene is a rare, rapidly progressive, necrotizing fasciitis of the genital, perianal and perineal regions. It is usually caused by a synergistic infection of aerobic and anaerobic organisms. A 51-year-old male patient with diabetes mellitus and chronic renal insufficiency on peritoneal dialysis was admitted with severe scrotal pain and swelling that lasted 4 days. An emergent non-contrast-enhanced computed tomography revealed extensive gas formation, fatty haziness and edema in the left scrotal and inguinal area. The patient was successfully treated with immediate surgical debridements and antibiotics. Streptococcus anginosus group Streptococcus anginosus was isolated from surgical wound cultures and identified with biochemical identification methods and direct sequencing of DNA. Herein, we report a rare case of Fournier's gangrene caused by S. anginosus. We also review the relevant literature

Keyword

Fournier's gangrene; Streptococcus anginosus

MeSH Terms

Anti-Bacterial Agents
Debridement
Diabetes Mellitus
DNA
Edema
Fasciitis, Necrotizing
Fournier Gangrene
Humans
Male
Middle Aged
Peritoneal Dialysis
Renal Insufficiency, Chronic
Streptococcus
Streptococcus anginosus
Anti-Bacterial Agents
DNA

Figure

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  Figure 1 Non-contrast enhanced computed tomography shows multiple air-bubbles, fatty haziness and swelling in the left scrotum and inguinal area.

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  Figure 2 Pinpoint white colonies with β-hemolysis are seen on the blood agar plate after 24 hours of incubation.

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  Figure 3 Microscopy shows Gram positive cocci in pairs or short chains (Gram stain, ×1,000).

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