Fournier’s gangrene is a rapidly progressive necrotizing infection of the external genitalia. We aim to share our clinical experience in the management of this disease. This was a retrospective study with data retrieved from the case note of patients seen with Fournier’s gangrene between January 2013 and April 2019. A total of 23 cases were analysed, who were all men, with a mean age of 47 years. The mean duration before presentation was 8 days. Perianal lesion was the most common aetiological factor occurring in 39% and the most common isolated organism was E. coli. The mean number of debridement was 1.5 while 2 patients required colostomy. The mortality rate was 9% in this study. Despite improvement in clinical care, Fournier’s gangrene remains a potentially fatal condition. Thus, aggressive resuscitation, debridement and judicious antibiotic therapy are required.

中文翻译：

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Fournier的坏疽：资源匮乏时的管理

Fournier的坏疽是外生殖器的快速进行性坏死性感染。我们旨在分享我们在控制该疾病方面的临床经验。这是一项回顾性研究，从2013年1月至2019年4月期间见过Fournier坏疽患者的病例笔记中检索到的数据。总共分析了23例男性患者，平均年龄47岁。报告前的平均持续时间为8天。肛周病变是最常见的病因，占39％，最常见的分离生物是大肠杆菌。清创术的平均次数为1.5，而2例患者需要进行结肠造口术。该研究的死亡率为9％。尽管临床护理有所改善，但傅尼叶坏疽仍然是潜在的致命疾病。因此，需要积极的复苏，清创术和明智的抗生素治疗。