Vol. 3, Issue 1, Part C (2017)

Abstract
Fournier’s gangrene is a rare, necrotizing fasciitis of the genitals and perineum caused by mixture of aerobic and anaerobic microorganism. The complications of this synergistic infection are multiple organ failure and death. Here we present a patient, is a known diabetes mellitus who reported to casualty with gangrenous and necrotic patches involving scrotum and perineal areas and with grossly impaired renal and blood parameters under sepsis. Due to aggressive nature of this condition timely intervention is required with involved extensive soft tissue debridement, broad spectrum antibiotics, permanent sigmoidostomy due to anal sphincter damage and split skin cover to the perineum. Appropriate and early therapy reduces morbidity and mortality as shown by this case management.