Fournier’s Gangrene in a Patient with Poorly Controlled Diabetes: A Clinical Challenge

Abstract

Fournier's gangrene is an uncommon necrotizing fasciitis of the vaginal and perineal areas that progresses quickly and is frequently linked to significant morbidity and fatality rates. Survival depends on intensive care and early detection. In order to successfully treat Fournier's gangrene, it emphasizes the significance of early clinical suspicion, timely surgical intervention, and multidisciplinary management. The LRINEC Score and Imaging studies such as Computed tomography and ultrasound plays a crucial role in the early diagnosis and FGSI helps to assess the severity and prognosis of the condition. We report the case of a 55 years old male patient with a history of hypertension and diabetes mellitus from past 10 years who presented with complaints of scrotal swelling from 1 week and raw area over scrotum followed by discharge from the raw area. Signs of a necrotizing soft tissue infection were found during the clinical examination. Based on the surgical findings and imaging diagnosis was confirmed and undergone emergency surgical debridement therapy and eventually recovered from the condition.