Korean J Urol.
1991 Aug;32(4):593-598.
Acute necrotizing fascitis of the male genitalia (Fournire's gangrene)
- Affiliations
-
- 1Department of Urology, College of Medicine, Pusan National University, Korea.
- 2Department of Urology, College of Medicine, Inje University, Korea.
- 3Department of Urology, Marynoll Hospital, Korea.
- 4Department of Urology, Kosin Medical College, Korea.
Abstract
- We reviewed 15 cases of necrotizing fascitis of the male genitalia. The clinical courses could be divided into two different types. In about one half of the patients the symptoms and signs progressed slowly within 122 weeks and in the remained they progressed rapidly. In the former, the prodromal signs were noted, usually low abdominal and inguinal pain. In 8 of fifteen patients, the locations of infectious focus were difficult to determine. The diagnosis were made after the development of scrotal necrosis in all of the cases. There were no differences in the causative pathogens comparing to 1hose of previous reports. The common underlying diseases were liver cirrhosis and diabetes. Hypoalbuminemia and leukocytosis were found in all. Of course, the strategy of treatment is same between two types, we would like to propose to use the term Fourier`s gangrene, a specific form of necrotizing fascitis, only to whose clinical course in acute and the location of primary infecious foci are obscure.
