Urology
Pic- doctorsgates.blogspot.com
Fournier's gangrene
Gangrene of the scrotum.
Etiology-
Low social economic factors and poor hygiene.
Pathogenesis
A trauma usually a scratch- infection - rapid inflammation of scrotum - fever and toxic symptoms - gangrene of the scrotum- exposed testis- spread to abdomen thigh even penis.
Organisms
Hemolytic Streptococcus
Staphylococcus
E coli
Anaerobes
Clinical features
Inflammation,
Scrotal gangrene
Fever
Toxic features
Spread
Treatment
Broad spectrum antibiotics
Ampicillin- gram +
Gentamycin- gram -
Metronidazole - anaerobes
Surgical excision of gangrene.
Implation in to thigh in case of exposed testis till
Skin graft is done.
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