ArticleMedical science monitor : international medical journal of experimental and clinical research2018
Fournier's Gangrene: Clinical Presentation of 13 Cases.
Article in Medical science monitor : international medical journal of experimental and clinical research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.
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Who cites it
25 citing papers in PubMed, 63 citations in OpenAlex.
- A new scoring system for the prediction of mortality in Fournier's gangrene: The Eğin score.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2026Article
- Comparison of diverting colostomy and fecal management catheter in fournier gangrene: a retrospective cohort study.Frontiers in surgery · 2026Article
- Treatment of Actinomyces europaeus and Clostridium innocuum necrotizing fasciitis: Case report and literature review.American journal of health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists · 2025Review
- The novel use of a vacuum-assisted closure dressing in the management of Fournier's gangrene.Annals of the Royal College of Surgeons of England · 2024Article
- Ulcerative and Cytomegalovirus Colitis Associated with Fournier's Gangrene: A Case Report.Middle East journal of digestive diseases · 2024Article
- Fournier's Gangrene: clinical case review and analysis of risk factors for mortality.BMC surgery · 2024Article
- Role of SFGSI, microbial culture and qSOFA as predictive factors in determining the survival rate in Fournier Gangrene patient.Saudi medical journal · 2024Article
- A rare case of necrotizing fasciitis of the leg in an intravenous drug user caused byJournal of oral microbiology · 2024Article
- Pneumatosis: Appearances on CT Imaging.Cureus · 2023Article
- Bibliometric insights in fournier's gangrene: Research landscapes, turning points, and global trends.Frontiers in surgery · 2023Review
- Autologous Platelet-Rich Plasma Injection and Platelet-Rich Fibrin Glue Insertion for the Treatment of Extensive Supralevator Anorectal Fistula: A Case Report.World journal of plastic surgery · 2023Article
- Management of Fournier's gangrene during the Covid-19 pandemic era: make a virtue out of necessity.Basic and clinical andrology · 2022Article
- Isolation of obligate anaerobes from clinical samples received for routine bacterial culture and sensitivity: a cross sectional study.Iranian journal of microbiology · 2022Article
- Practical Review of the Current Management of Fournier's Gangrene.Plastic and reconstructive surgery. Global open · 2022Review
- Effectiveness of Fasciocutaneous Superomedial Thigh Flap in Reconstruction of Fournier Gangrene Defects.Eplasty · 2022Article
- Multimodal approach in a patient with Fournier's gangrene during the coronavirus pandemic.Urology case reports · 2021Article
- Review
- Imaging spectrum of common and rare infections affecting the lower genitourinary tract.Abdominal radiology (New York) · 2021Review
- Necrotizing fasciitis, causative agents and management: a five-year retrospective study in two tertiary care hospitals in Central Malaysia.International orthopaedics · 2021Article
- Fournier's gangrene mimicking an acute epididymitis.SAGE open medical case reports · 2021Article
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Authors and funding
7 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
BACKGROUND Fournier's gangrene (FG) is a fulminant form of infective, polymicrobial, necrotizing fasciitis of the perineal, genital, and perianal regions. It commonly affects men, but women and children may also develop this type of tissue necrosis. MATERIAL AND METHODS This study is a retrospective analysis of the management of 13 cases of Fournier's gangrene, diagnosed from among about 45 000 patients (men, women, and children) treated in the Department of General, Oncological, and Functional Urology (Medical University of Warsaw) from 1995 to 2013. All patients with Fournier's gangrene underwent adequate surgical debridement of the necrotic tissues. Additional procedures (suprapubic cystostomy and orchiectomy) were necessary in 10 out of 13 (77.0%) patients. Seven out of 13 (53.8%) patients required subsequent reconstructive surgery of the scrotum. RESULTS All 13 patients were males, with a median age of 59.6 years (range: 42-68 years). The average hospital stay was 31.9 days (range: 16-46 days). None of our patients died due to Fournier's gangrene. Bacteriological cultures of samples from the wounds showed polymicrobial flora, including the following genera of aerobes and anaerobes: Escherichia, Proteus, Klebsiella, Moraxella, Gemella, Enterococcus, Streptococcus, Staphylococcus, Bacteroides, Pseudoflavonifractor, Parabacteroides, Porphyromonas, Prevotella, Peptoniphilus, Peptostreptococcus, Actinomyces, Collinsella, and Lactobacillus. CONCLUSIONS Favorable outcome of FG treatment with low morbidity and no mortality can be achieved with rapid diagnosis, urgent surgical debridement of all necrotic tissues, and broad-spectrum empirical antimicrobial therapy, usually with combined antibiotics, against aerobic and anaerobic bacteria. Prevention of uroseptic shock by treating localized infection is compulsory.
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