Fournier gangrene history and symptoms

Steven C. Campbell, M.D., Ph.D.; Associate Editor(s)-in-Chief: Yamuna Kondapally, M.B.B.S [1]; Jesus Rosario Hernandez, M.D. [2]

Overview

Specific areas of focus when obtaining a history from the patient include^[1]^[2]^[3] trauma, alcohol misuse, immunosupression, chemotherapy, chronic corticosteroid use, and HIV infections. The symptoms of Fournier gangrene include:^[4]^[5] Pain and swelling in the scrotum, erythema, discoloration of involved skin, Purulence or wound discharge, pallor, and fever >38°C.

History

A detailed and thorough history from the patient is necessary. Specific areas of focus when obtaining a history from the patient include:^[1]^[2]^[3]

Trauma
Alcohol misuse
Immunosupression
Chemotherapy
Chronic corticosteroid use
HIV
Leukemia
Liver disease
Debilitating illness
Malignancy
Cytotoxic drugs
Abdominal disease
Surgery
Epididymitis or orchitis

Symptoms

The symptoms of Fournier gangrene include:^[4]^[5]

Pain and swelling in the scrotum
Erythema
Discoloration of involved skin
Purulence or wound discharge
Pallor
Fever >38°C
Crepitation
Prostration
Fluctuance
Fetid odour

References

↑ ^1.0 ^1.1 Clayton MD, Fowler JE, Sharifi R, Pearl RK (1990). “Causes, presentation and survival of fifty-seven patients with necrotizing fasciitis of the male genitalia”. Surg Gynecol Obstet. 170 (1): 49–55. PMID 2294630.
↑ ^2.0 ^2.1 Morpurgo E, Galandiuk S (2002). “Fournier’s gangrene”. Surg Clin North Am. 82 (6): 1213–24. PMID 12516849.
↑ ^3.0 ^3.1 Vick R, Carson CC (1999). “Fournier’s disease”. Urol Clin North Am. 26 (4): 841–9. PMID 10584624.
↑ ^4.0 ^4.1 Mallikarjuna MN, Vijayakumar A, Patil VS, Shivswamy BS (2012). “Fournier’s Gangrene: Current Practices”. ISRN Surg. 2012: 942437. doi:10.5402/2012/942437. PMC 3518952. PMID 23251819.
↑ ^5.0 ^5.1 Yeniyol CO, Suelozgen T, Arslan M, Ayder AR (2004). “Fournier’s gangrene: experience with 25 patients and use of Fournier’s gangrene severity index score”. Urology. 64 (2): 218–22. doi:10.1016/j.urology.2004.03.049. PMID 15302463.

[pmid2294630-1] 1.0 ^1.1 Clayton MD, Fowler JE, Sharifi R, Pearl RK (1990). “Causes, presentation and survival of fifty-seven patients with necrotizing fasciitis of the male genitalia”. Surg Gynecol Obstet. 170 (1): 49–55. PMID 2294630.

[pmid12516849-2] 2.0 ^2.1 Morpurgo E, Galandiuk S (2002). “Fournier’s gangrene”. Surg Clin North Am. 82 (6): 1213–24. PMID 12516849.

[pmid10584624-3] 3.0 ^3.1 Vick R, Carson CC (1999). “Fournier’s disease”. Urol Clin North Am. 26 (4): 841–9. PMID 10584624.

[pmid23251819-4] 4.0 ^4.1 Mallikarjuna MN, Vijayakumar A, Patil VS, Shivswamy BS (2012). “Fournier’s Gangrene: Current Practices”. ISRN Surg. 2012: 942437. doi:10.5402/2012/942437. PMC 3518952. PMID 23251819.

[pmid15302463-5] 5.0 ^5.1 Yeniyol CO, Suelozgen T, Arslan M, Ayder AR (2004). “Fournier’s gangrene: experience with 25 patients and use of Fournier’s gangrene severity index score”. Urology. 64 (2): 218–22. doi:10.1016/j.urology.2004.03.049. PMID 15302463.

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Fournier gangrene history and symptoms

Overview

History

Symptoms

References

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