A. Scrotal abscess
B. Testicular torsion
C. Acute epididymo-orchitis
D. Fournier gangrene
Ans:D. Fournier gangrene.
- It is defined as a polymicrobial necrotizing fasciitis of the perineal, perianal, or genital areas.
- It is usually caused by a mixed infection of both aerobic and anaerobic bacteria.
- They present with systemic toxicity and pain over the perineum. Cellulits is seen in the patient but they may present with crepitance and extensive necrosis under relative normal skin.
- Synergistic flora of the anorectal and urogenital area (streptococcus, clostridia, and non-hemolytic streptococcus).
- Immuno-compromised patients (e.g. diabetics, alcoholics and malnourished patients).
- They are associated with high morbidity and mortality. Aggressive surgical debridement and broad spectrum antibiotics is necessary.