What is Gangrena de Fournier?
Fournier gangrene is an acute necrotic infection of the scrotum; penis; or perineum. It is characterized by scrotum pain and redness with rapid progression to gangrene and sloughing of tissue.
What is a Fournier?
Fournier is the name of the French physician who first identified this disease. Gangrene is where your tissues die because of a lack of blood flow or a bacterial infection. Fournier’s gangrene is a type of necrotizing fasciitis (flesh-eating disease).
How did gangrene originate?
Gangrene can develop when the supply of blood to an area of your body is interrupted. This can occur as the result of an injury, an infection, or an underlying condition that affects your circulation.
Why is testis spared in Fournier’s gangrene?
Broad-spectrum antimicrobial therapy, intravenous hydration, and wide surgical débridement are essential in the early management. Urinary and fecal diversion may be necessary. Because the blood supply to the testes arises from the spermatic cord, the testes usually are spared and orchiectomy is not required.
Where does Fournier’s gangrene come from?
Fournier’s gangrene can occur when a person has a skin wound that allows bacteria, viruses, or fungi to get deeper into the body. Examples of these skin injuries include anorectal abscesses, surgical incisions, diverticulitis, rectal cancer, or genital piercings.
What organisms cause Fournier’s gangrene?
Most cases of Fournier gangrene are infected with both aerobic and anaerobic bacteria such as Clostridium perfringens. It can also result from infections caused by group A streptococcus (GAS), as well as other pathogens such as Staphylococcus aureus and Vibrio vulnificus.
Who named gangrene?
However, the disease was named after Jean-Alfred Fournier, a Parisian venereologist, on the basis of a transcript from an 1883 clinical lecture in which Fournier presented a case of perineal gangrene in an otherwise healthy young man, adding this to a compiled series of 4 additional cases.
Who discovered gas gangrene?
In 1861, Louis Pasteur identified the first clostridial species, Clostridium butyricum. In 1892 and later, Welch, Nuttall, and other scientists isolated a gram-positive anaerobic bacillus from gangrenous wounds.
How do you get Fournier?
Who discovered Fournier gangrene?
Fournier gangrene was first identified in 1883, when the French venereologist Jean Alfred Fournier described a series in which 5 previously healthy young men suffered from a rapidly progressive gangrene of the penis and scrotum without apparent cause.