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J R Soc Med. 1986 April; 79(4): 212–215.
PMCID: PMC1290277

Fournier's gangrene: non-clostridial gas gangrene of the perineum and diabetes mellitus.

Abstract

Three successfully managed cases of Fournier's gangrene, all with diabetes, are reported. A simple bacteriological classification is offered and the importance of diabetes mellitus as a predisposing factor is stressed.

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Selected References

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  • Bahlmann JC, Fourie IJ, Arndt TC. Fournier's gangrene: necrotising fasciitis of the male genitalia. Br J Urol. 1983 Feb;55(1):85–88. [PubMed]
  • Biswas M, Godec C, Ireland G, Cass A. Necrotizing infection of scrotum. Urology. 1979 Dec;14(6):576–580. [PubMed]
  • Haury B, Rodeheaver G, Stevenson T, Bacchetta C, Edgerton MT, Edlich RF. Streptococcal cellulitis of the scrotum and penis with secondary skin gangrene. Surg Gynecol Obstet. 1975 Jul;141(1):35–39. [PubMed]
  • Diettrich NA, Mason JH. Fournier's gangrene: a general surgery problem. World J Surg. 1983 Mar;7(2):288–294. [PubMed]
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  • Jones RB, Hirschmann JV, Brown GS, Tremann JA. Fournier's syndrome: necrotizing subcutaneous infection of the male genitalia. J Urol. 1979 Sep;122(3):279–282. [PubMed]
  • Bubrick MP, Hitchcock CR. Necrotizing anorectal and perineal infections. Surgery. 1979 Oct;86(4):655–662. [PubMed]
  • Slater DN, Smith GT, Mundy K. Diabetes mellitus with ketoacidosis presenting as Fournier's gangrene. J R Soc Med. 1982 Jul;75(7):530–532. [PMC free article] [PubMed]
  • Meleney FL. BACTERIAL SYNERGISM IN DISEASE PROCESSES: WITH A CONFIRMATION OF THE SYNERGISTIC BACTERIAL ETIOLOGY OF A CERTAIN TYPE OF PROGRESSIVE GANGRENE OF THE ABDOMINAL WALL. Ann Surg. 1931 Dec;94(6):961–981. [PubMed]
  • Anderson CB, Marr JJ, Jaffe BM. Anaerobic streptococcal infections simulating gas gangrene. Arch Surg. 1972 Feb;104(2):186–189. [PubMed]
  • Darke SG, King AM, Slack WK. Gas gangrene and related infection: classification, clinical features and aetiology, management and mortality. A report of 88 cases. Br J Surg. 1977 Feb;64(2):104–112. [PubMed]
  • Bessman AN, Wagner W. Nonclostridial gas gangrene. Report of 48 cases and review of the literature. JAMA. 1975 Sep 1;233(9):958–963. [PubMed]
  • Fisher JR, Conway MJ, Takeshita RT, Sandoval MR. Necrotizing fasciitis. Importance of roentgenographic studies for soft-tissue gas. JAMA. 1979 Feb 23;241(8):803–806. [PubMed]
  • Oh C, Lee C, Jacobson JH., 2nd Necrotizing fasciitis of perineum. Surgery. 1982 Jan;91(1):49–51. [PubMed]

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