Although Fournier gangrene (also known as Fournier’s gangrene) can affect women, it is ten times more likely to be found in men, particularly those aged between 60 and 80 who have an underlying condition that makes them susceptible through immune system deficiencies.
In 60% of cases diabetes mellitus is also found to be present and in a third of all other cases there is some form of compromised immune system due to medical intervention for another illness.
It is a combination of bacterial and yeast infections which affects the skin of the scrotum and genitals and normally develops when bacteria infect the body through a wound, usually in the perineum, urethra or anal area.
Whilst the skin of the penis can also become infected, because the testicular arteries are supplied directly by the aorta, their blood supply is separate from the infected region so the testes themselves are rarely affected
Chronic urinary tract infections, epididymitis, piercings, injections and implants in this delicate area have all been linked as possible causes, along with trauma, surgery or foreign bodies.
Fournier gangrene usually begins with itching and discomfort of the external genitalia and these early physical symptoms may not indicate the severity of the condition so patients often wait before seeking medical attention, especially as the pain sometimes diminishes as the disease progresses.
There may be symptoms of fever, lethargy and chills accompanied by increasing pain, redness and odour.
A full diagnosis will be made through physical examination and blood tests which will reveal the spongy, weeping, discolored skin to be gangrenous.
The condition is a urological emergency which will need intravenous antibiotics and surgical removal of dead tissue, as well as treatments to inhibit and kill the bacteria because, if the dead tissue is not fully removed, it can continue to spread. The overall mortality rate is 40%, but if the bacterial infection has already entered the bloodstream, it can cause delirium, heart attack, respiratory failure, and death in 78% of cases.
Wikipedia reports that it was named after a French venereologist called Jean-Alfred Fournier following five cases he presented in clinical lectures in 1883 and famous sufferers from this condition may have been Herod the Great, his grandson Herod Agrippa, and possibly the Roman emperor Galerius.
Originally posted 2010-05-08 14:46:33. Republished by Blog Post Promoter
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