
Health Dictionary
Reliable, easy-to-read patient information on common medical conditions — written in plain language, free of jargon, and grounded in current evidence. Browse the most frequent diagnoses, understand what they mean for everyday life, and learn which steps and questions help you have a focused conversation with your doctor.
Fournier gangrene history and symptoms
Introduction
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
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
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
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
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.
