– Fournier's disease is an acute pathologic process of cellulitis and necrotising fascitis involving the male genitals with a mortality of 30–50%. The main causes are periurethral and perirectal infections, immuno-depressive syndromes, diabetes mellitus and traumas. Mixed types of infections involve aerobic and anaerobic germs, the latter being responsible for the necrosis of the subcutaneous tissue. Therapy is synergic and multi-disciplinary, antibiotic with radical and reconstructive surgery.
BjorsonH.S., HillE.Q.: Bacteroidaceae in thromboembolic disease. Effects of cell wall components on blood coagulation in vivo and in vitro. Infect. Immunol., 8: 911, 1973.
5.
EfemS.E.E.: The features and aetiology of Fournier's gangrene. Review. University Teaching Hospital, Calabar, Nigeria. Postgraduate medical Journal, 70 (826): 568–71, 1994.
6.
GermanM., LenroitJ.P., ZazoJ.F., MartinE.: Le syndrome de Fournier, gangrene des organes genitaux extremes. Révue generale. Nouvelle hypothese pathogenique. Ann. Chir., 31: 249–254, 1977.
7.
AnzaiA.K.: Fournier's gangrene: a urologie emergency. Kaiser Permanente, Fontana California, U.S.A. American Family Physician, 52 (6): 1821–5, 1995.
8.
LarcanA., Laprevote-HeullyM.C., LambertH., MantzJ.M., TempeJ.D., SauderPh., TytgatF.: Les gangrenes gazeuse perineales. Les anaerobies: microbiologie, pathologie. Paris Masson, 232–242, 1981.
9.
AmendolaM.A., CasillasJ., JosephR., AntunR., GalidenzO.: Fournier's gangrene: CT findings. Memorial Medical Center, University of Miami; Department of Urology, Radiology, Medicine. Abdominal imaging, 19 (5): 471–4, 1994.