Question 1

what causes fournier gangrene?

Accepted Answer

Seen in diabetics: Fournier's gangrene is seen in neglected untreated diabetics, infection of genitalia starts at scrotum rapidly spreads if untreated it is lethal. , need extensive debridements, frequent dressings and antibiotics.

Question 2

need doctor's help! will occur fournier gangrene in the foot?

Accepted Answer

Not usually the foot: Fournier gangrene is a type of necrotizing infection or gangrene usually affecting the perineum.

Question 3

over how many days does fourniers gangrene become lethal/ lead to death?

Accepted Answer

Can occur quickly: Fournier gangrene is a soft tissue infection of the groin area, caused by mixed infection of both aerobic and anaerobic bacteria.  Many patients are diabetic.  It is considered a surgical emergency requiring IV antibiotics and surgery to remove dead and infected tissue.  In spite of such measures, the mortality rate overall is 40%, but 78% if sepsis is already present at the time of presentation.

Question 4

what is the mortality rate of fourniers gangrene? i have patient who has that disease and its sad to see him deproving each day.

Accepted Answer

Too High: Fournier's gangrene, or necrotizing fasciitis of the perineum, has a mortality rate of 40-50%; this may increase to ~75% if one is septic on presentation. The key to rx is aggressive debridement and antibiotics. I hope your patient pulls through.

Question 5

would scrotal ultrasound rule out fourniers gangrene? have fever plus scrotal discoloration.

Accepted Answer

Not useful: Physical symptoms of fournier's gangrene are progressive and include the following:
1) crepitant ("spongy" to the touch) skin which may be painful or numb;
2) dead and discolored (gray-black) tissue; murky and malodorous fluid weeping from skin; 3) fever and lethargy; 4) increasing genital pain and redness; 5) swelling of tissue in the genital area.

Question 6

fournier`s gangrene: she is getting out of the hospital soon. what do we need to know when we get her home?

Accepted Answer

Control diabetes: Fournier's is an aggressive infection of the groin area. Usually requires surgical removal of tissue. Most patients require long term wound care. Happens most commonly in diabetics, so sugar control is essential. Often a surgeon, urologist and plastic surgeon are involved. Follow their recommendations. Keeping the wound clean is essential.

Question 7

what is color of gangrene?

Accepted Answer

Darkening of skin: May be black.  Gangrene is death of tissue.  It may begin with discoloration of various hues, progress to black.  If you are concerned see a doctor asap.

Question 8

how could gangrene spread?

Accepted Answer

Locally: Gangrene spreads locally, peripherally extending out from a central location.

Question 9

what are the tests for gangrene?

Accepted Answer

None: Gangrene is a problem of circulation and infection.

Question 10

what  ways is gangrene is caused from?

Accepted Answer

Gangrene: Is from blood supply being cut off from an organ it can happen with peripheral vascular disease, diabetes and also trauma.

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Doctor answers about:

Fournier gangrene

A member asked:

What causes fournier gangrene?

A member asked:

Need doctor's help! will occur fournier gangrene in the foot?

A member asked:

Over how many days does fourniers gangrene become lethal/ lead to death?

A member asked:

What is the mortality rate of fourniers gangrene? i have patient who has that disease and its sad to see him deproving each day.

A member asked:

Would scrotal ultrasound rule out fourniers gangrene? have fever plus scrotal discoloration.

A member asked:

Fournier`s gangrene: she is getting out of the hospital soon. what do we need to know when we get her home?

A member asked:

What is color of gangrene?

A member asked:

How could gangrene spread?

A member asked:

What are the tests for gangrene?

A member asked:

What ways is gangrene is caused from?

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