ReviewOpen access emergency medicine : OAEM2020
Fournier Gangrene in the Emergency Department: Diagnostic Dilemmas, Treatments and Current Perspectives.
Review in Open access emergency medicine : OAEM, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
27 citing papers in PubMed, 1 synthesis or guideline pooled it, 61 citations in OpenAlex.
- Hyperbaric oxygen therapy and Fournier's gangrene: a systematic review and meta-analysis.Medical gas research · 2026Pooled it
- Article
- Fournier Gangrene in an Immunocompetent Woman Following Minor Perineal Manipulation: A Case Report.The American journal of case reports · 2026Article
- Fournier's Gangrene and Purulent Peritonitis as a Result of Progressing Ischiorectal Abscess: A Case Report From Muhimbili National Hospital, Tanzania.Clinical case reports · 2026Article
- Şimşek Index (Kocaeli Fournier’s Gangrene Severity Index, KFGSI): Development and Prognostic Performance of an Admission-Based Mortality Prediction Model for Fournier’s GangreneUlusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2026Article
- A Case Report of an Atypical Presentation of Fournier's Gangrene.Journal of education & teaching in emergency medicine · 2026Article
- Urogenital abscess with a complex etiology: a case report.AME case reports · 2026Article
- Retroperitoneal Necrotizing Fasciitis Mimicking Fournier Gangrene: A Rare and Severe Diagnostic Entity.The American journal of case reports · 2025Article
- Paediatric Fournier gangrene: comprehensive insights into diagnosis, management, and outcomes-a narrative review.Translational pediatrics · 2025Review
- Article
- Fournier's gangrene after male circumcision: A case report.Urology case reports · 2025Article
- Volumetric computed tomography measurements as predictors for outcomes in a cohort of Fournier's gangrene patients.Emergency radiology · 2024Article
- Fournier's Gangrene Surgical Reconstruction: A Systematic Review.Journal of clinical medicine · 2024Review
- Article
- Article
- Article
- Variables that predict hospital stay and the outcome of Fournier gangrene at King Abdulaziz University Hospital: a retrospective study.BMC urology · 2024Article
- Impact of fecal diversion in Perineal Necrotizing Soft Tissue Infection on disease survival: A large retrospective study.Surgery in practice and science · 2024Article
- PoCUS for the management of Fournier's gangrene in the emergency department: A case report.Biomedical reports · 2023Article
- Fournier Gangrene Management: Is a Stoma Mandatory?Cureus · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Fournier gangrene (FG) is a rare and life-threatening urosurgical emergency characterized most often by a polymicrobial infection of the perineal, genital, or perianal region. FG has an increased incidence in male patients, patients with alcoholism, and patients with immunocompromise including human immunodeficiency virus (HIV) and uncontrolled diabetes. FG often begins as a simple abscess or cellulitis with progression to necrotizing soft tissue infection (NSTI). Delays in diagnosis and treatment confer high mortality. Early recognition and high clinical suspicion are important in making a timely diagnosis, as early manifestations are often subtle. The most significant modifiable risk factor associated with NSTI mortality is delay to surgical intervention. Coordination of both inpatient medical and surgical teams to implement appropriate therapy is vital to successful outcomes. The emergency medicine clinician must be vigilant for this condition and be aware of risk factors, prognostic indicators, and proper treatment protocols to recognize FG early and initiate appropriate management. The objective of this review is to provide updated and relevant information regarding recognition, diagnosis, and management of FG for the emergency medicine provider.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.