Fournier gangrene: Difference between revisions
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(Created page with "==Background== * A necrotizing soft tissue infection that involves the scrotum and penis or the vulva * The main risk factor is diabetes mellitus ===Microbiology=== *Mostly caused by mixed aerobic and anaerobic organisms **The mix can sometimes include Staphylococcus aureus and/or Pseudomonas aeruginosa * Can be caused by monomicrobial Staphylococcus aureus infection as well ===Pathophysiology=== * Typically from contiguous spread from: ** A periana...") |
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** A [[urinary tract infection]], particularly with urethral stricture, or |
** A [[urinary tract infection]], particularly with urethral stricture, or |
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** Traumatic inoculation into the soft tissues |
** Traumatic inoculation into the soft tissues |
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| + | == Clinical Manifestations == |
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| + | |||
| + | * Can be insidious or abrupt onset |
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| + | * Symptoms include local pain, swelling, and erythema, as well as fevers |
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| + | * Can progress to soft tissue necrosis and crepitus |
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| + | * Can spread to perineum and anterior abdominal wall |
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| + | * Typically spares the testes, glans, and spermatic cord |
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| + | |||
| + | [[Category:Skin and soft tissue infections]] |
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Latest revision as of 09:34, 6 September 2024
Background
- A necrotizing soft tissue infection that involves the scrotum and penis or the vulva
- The main risk factor is diabetes mellitus
Microbiology
- Mostly caused by mixed aerobic and anaerobic organisms
- The mix can sometimes include Staphylococcus aureus and/or Pseudomonas aeruginosa
- Can be caused by monomicrobial Staphylococcus aureus infection as well
Pathophysiology
- Typically from contiguous spread from:
- A perianal or retroperitoneal infection, or
- A urinary tract infection, particularly with urethral stricture, or
- Traumatic inoculation into the soft tissues
Clinical Manifestations
- Can be insidious or abrupt onset
- Symptoms include local pain, swelling, and erythema, as well as fevers
- Can progress to soft tissue necrosis and crepitus
- Can spread to perineum and anterior abdominal wall
- Typically spares the testes, glans, and spermatic cord
