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Research ArticleOriginal Article
Open Access

Fournier gangrene. Approaches to diagnosis and treatment

Bulent Unal, Belma Kocer, Ebru Ozel, Betul Bozkurt, Osman Yildirim, Buket Altun, Mete Dolapci and Omer Cengiz
Saudi Medical Journal July 2006, 27 (7) 1038-1043;
Bulent Unal
Harbiye Mah. S. A. Yakupoglu Sokak, 30/29, 06460, Dikmen, Ankara, Turkey. Tel. +90 (312) 4806300. Fax. +90 (312) 3103460/4405040. E-mail: [email protected]
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Belma Kocer
Department of Second General Surgery, Ankara Numune Teaching and Research Hospital, Ankara, Turkey.
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Ebru Ozel
Department of Second General Surgery, Ankara Numune Teaching and Research Hospital, Ankara, Turkey.
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Betul Bozkurt
Department of Second General Surgery, Ankara Numune Teaching and Research Hospital, Ankara, Turkey.
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Osman Yildirim
Department of Second General Surgery, Ankara Numune Teaching and Research Hospital, Ankara, Turkey.
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Buket Altun
Department of Second General Surgery, Ankara Numune Teaching and Research Hospital, Ankara, Turkey.
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Mete Dolapci
Department of Second General Surgery, Ankara Numune Teaching and Research Hospital, Ankara, Turkey.
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Omer Cengiz
Department of Second General Surgery, Ankara Numune Teaching and Research Hospital, Ankara, Turkey.
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Abstract

OBJECTIVE: To investigate the factors associated with patients with Fournier's gangrene, and to clarify the effect of diabetes mellitus (DM) as a comorbid disease on morbidity and mortality of patients with Fournier's gangrene.

METHODS: Twenty-six Fournier's gangrene patients who were admitted to the Emergency Department of Ankara Numune Teaching and Research Hospital, Ankara, Turkey from 1997 to 2003 were examined retrospectively.

RESULTS: The mean age of the patients was 52.8 years. There were 8 female (30.8%) and 18 male (69.2%) patients. The etiological causes were as follows: diseases of the perianal region, history of operations, trauma and injections. Major comorbid disease states were diabetes mellitus (DM) and hypertension. The lesions in Fournier's gangrene were most commonly located in the perineum and genital region. Female patients with diabetes mellitus had significantly unusual extensive involvement, especially abdominal wall involvement. The most frequently isolated pathogen was Escherichia coli, while staphylococcal infection was most commonly seen in the presence of DM. Colostomy was performed on 53.8% of the patients, and cystostomy on 7.6% of the patients. Average time of staying at the hospital was 25 days with a mortality rate of 34.6%. Patients with DM had high mortality rates and stayed longer at the hospital than the non-diabetic patients.

CONCLUSION: In addition to early diagnosis, early and aggressive debridement and administration of multiple wide spectrum antibiotics chosen for the causative agent are the golden standard for decreasing the mortality and morbidity. Diabetes mellitus has been found to be an important factor to increase mortality rates of patients with Fournier's gangrene.

  • Copyright: © Saudi Medical Journal

This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Saudi Medical Journal: 27 (7)
Saudi Medical Journal
Vol. 27, Issue 7
1 Jul 2006
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Fournier gangrene. Approaches to diagnosis and treatment
Bulent Unal, Belma Kocer, Ebru Ozel, Betul Bozkurt, Osman Yildirim, Buket Altun, Mete Dolapci, Omer Cengiz
Saudi Medical Journal Jul 2006, 27 (7) 1038-1043;

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Fournier gangrene. Approaches to diagnosis and treatment
Bulent Unal, Belma Kocer, Ebru Ozel, Betul Bozkurt, Osman Yildirim, Buket Altun, Mete Dolapci, Omer Cengiz
Saudi Medical Journal Jul 2006, 27 (7) 1038-1043;
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© 2025 Saudi Medical Journal Saudi Medical Journal is copyright under the Berne Convention and the International Copyright Convention.  Saudi Medical Journal is an Open Access journal and articles published are distributed under the terms of the Creative Commons Attribution-NonCommercial License (CC BY-NC). Readers may copy, distribute, and display the work for non-commercial purposes with the proper citation of the original work. Electronic ISSN 1658-3175. Print ISSN 0379-5284.

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