This article on Epainassist.com has been look back by a medical professional person , as well as checked for fact , to assure the reader the well possible truth .
We follow a strict editorial insurance policy and we have a zero - margin insurance policy regarding any stage of plagiarism . Our articles are resourced from reputable online pages . This article may moderate scientific references . The figure in the excursus ( 1 , 2 , 3 ) are clickable connection to match - reviewed scientific papers .
The feedback link “ Was this Article Helpful ” on this pageboy can be used to cover content that is not accurate , up - to - particular date or confutable in any manner .
This clause does not leave medical advice .
What is Fournier’s Gangrene?
Gangreneis a aesculapian terminal figure used to line necrosis of tissues or death of tissues due to poor blood supply or bacterial contagion . Fournier ’s slough principally impact male person and is characterise by infection in virile genital region which include scrotum , orchis , penis orperineum . In advanced event , the infection may spread to adjacent area such as thighs , belly and even chest in some cases . There is growth of multiple organisms which leads to severeinfectionin the genital area . This condition is rarefied but it is take as a medical exigency when diagnosed . In extreme case , the condition is life sentence imperil and can spread rapidly . There may be expiry of diffuse tissues , admit muscles , spunk and blood watercraft due to necrotising fasciitis . It may be required to polish off the infected tissues such as fond or everlasting removal of penis or testicles and other surrounding areas .
Symptoms of Fournier’s Gangrene
Fournier ’s necrosis often begin with generalised touch of being unwell . The most commonly come across symptom are :
As the condition worsen , the pain and irritation in the genital areas worsens and becomes unbearable . There is wicked smell in the country due to tissue necrosis ( death of the tissue ) . The skin over the stirred area may fray over each other causing rubbing creating a crackling sound called as crepitus .
Fournier ’s gangrene is characterized by shower of symptoms as mention below :
Causes of Fournier’s Gangrene
The most common campaign of Fournier ’s sphacelus is infection . In most of the cases , there is a skin wound which does not heal and provides a channel for bacteria , viruses and fungi to reach deep portion of the skin causing damage . The most common source of these infections are :
Risk Factors of Fournier’s Gangrene
In some case , the exact source of mortification can not be key out . However , a list of predisposing risk factors have been identified which are note below :
field have shown that about 20 to 70 percent of patients affected by Fournier ’s gangrene have a known history of diabetes ; and about 25 to 50 percentage of them are known to have alcohol or substance vilification disorder .
Prevalence of Fournier’s Gangrene
As mentioned earlier , Fournier ’s sphacelus is more unwashed in men , but can affect women and children very rarely . It commonly affects gentleman between the ages of 50 to 60 years . Statistically speaking , men are 10 times more probable to be touch by this condition . In general , Fournier ’s sphacelus is very rare and it is even rare in women and rarest in baby .
Diagnosis of Fournier’s Gangrene
Diagnosis of Fournier ’s gangrene affect obtaining detailed casing history followed by forcible examination of the area . specialised discipline such as ultrasound are often helpful to meditate the inflammation , gases and fluid in the area . test are done to rein out other cause of similar symptoms such asepididymitisandorchitis . CT ( computerized imaging ) scansandx - raysare also helpful in extend to correct diagnosing . Blood employment is done to evaluate the cause of the contagion and also for decide the clotting ability .
Treatment of Fournier’s Gangrene
Upon diagnosis , discourse should be part as soon as possible . Treatment modality involves immediate administration of strong antibiotics ( mostly through IV road ) to kill the causative organisms and contain the spread head of contagion . In most of the case , surgical debridement may be necessary for make clean the affected tegument and removal of the dead tissue . It is necessary to remove enough tissue to ensure the infection does not fan out to the adjacent areas . In some cases , multiple sessions of debridement may be ask .
Hyperbaric atomic number 8 therapyis often helpful in this condition . It is a procedure where the consistency is exposed to 100 percentage oxygen under verify surround . This forbid emergence of bacterium , promotes wound healing and reverses the harm in blood vessels .
Surgical removal of affected organ and reconstruction may be necessitate if all other treatment give out . Skin grafting and formative surgery is often used for reconstructive memory .
Prognosis of Fournier’s Gangrene
It has been note that hospital admittance for Fournier ’s gangrene is rare . Only 0.02 percent of cases are known to be hospitalise . work have shown that 20 to 40 percent of patient have from this condition die lowly to serious complications . The prognosis in older population is worse than that in younger population . It is advised to seek assistance at the early without any hesitation to keep off complication .
Prevention of Fournier’s Gangrene
Early diagnosis and early discourse is the fundamental factor for preventing complication in this condition . Besides this , few other precautions have to be pack as mentioned below :
Conclusion
Fournier ’s gangrene can be wangle and treated with proper medication . If the infection has progressed , surgery might be needed . A right well-timed direction can bring around the contagion ; however , if neglected , the condition can progress to life threatening situation . If symptom of Fournier ’s gangrene are noted , one must seek aesculapian help immediately .
reference :
Also Read :
