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Fournier’s gangrene and its emergency management
  1. A Thwaini1,
  2. A Khan3,
  3. A Malik3,
  4. J Cherian2,
  5. J Barua2,
  6. I Shergill2,
  7. K Mammen4
  1. 1Barts and the London Hospitals NHS Trust, UK
  2. 2Harold Wood Hospital, London, UK
  3. 3United Bristol Healthcare Trust, UK
  4. 4Christian Medical College, Ludhiana, India
  1. Correspondence to:
 MrA Thwaini
 Department of Urology, Barts and the Royal London NHS Trusts, St Bartholomew’s Hospital, West Smithfield, London EC1A 7BE, UK; iniziaj{at}


Fournier’s gangrene (FG) is a rare but life threatening disease. Although originally thought to be an idiopathic process, FG has been shown to have a predilection for patients with diabetes as well as long term alcohol misuse; however, it can also affect patients with non-obvious immune compromise. The nidus is usually located in the genitourinary tract, lower gastrointestinal tract, or skin. FG is a mixed infection caused by both aerobic and anaerobic bacterial flora. The development and progression of the gangrene is often fulminating and can rapidly cause multiple organ failure and death. Because of potential complications, it is important to diagnose the disease process as early as possible Although antibiotics and aggressive debridement have been broadly accepted as the standard treatment, the death rate remains high.

  • Fournier’s gangrene

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  • Funding: none.

  • Conflicts of interest: none.