Fournier gangrene
| A | It is a vascular disaster of infective origin | |
| B | Sudden appearance of scrotal inflammation | |
| C | Rapid onset of gangrene | |
| D | Testes are never exposed |
| A | It is a vascular disaster of infective origin | |
| B | Sudden appearance of scrotal inflammation | |
| C | Rapid onset of gangrene | |
| D | Testes are never exposed |
Necrotising facilities is a destructive invasive infection of skin, subcutaneous tissue and deep fascia, with relative sparing of muscle.Common sites are the genitalia, groins and lower abdomen.
All cause fournier gangrene except-
| A |
Staphylococcus |
|
| B |
Streptococcus |
|
| C |
Clostridium |
|
| D |
Bacteroides |
All cause fournier gangrene except-
| A |
Staphylococcus |
|
| B |
Streptococcus |
|
| C |
Clostridium |
|
| D |
Bacteroides |
Ans. is ‘c’ i.e., Clostridium
- Fournier’s gangrene is a necrotising fascitis of genitalia, usually affecting the scrotum and penis.
- There have been many types of bacteriological culture encountered in Fournier’s gangrene, both single strain and polymicrobial culture. Majority of cases are due to mixed infection caused by both aerobic and anaerobic bacteria.
- Following are common causative organisms : Staphylococcus aureus, streptococcus pyogenes ((3-hemolytic streptococci), enterobacteriaceae (E. coli, klebsiella, proteus), enterococci, pseudomonas, and anaerobes like bacteroides and peptostreptococcus.
| A |
Testicles are involved |
|
| B |
Obliterative arteritis seen |
|
| C |
Haemolytic streptococci, E.coli, Staphylococci, Cl. welchi can be isolated |
|
| D |
Necrotising fascitis |
All are features of Fournier’s gangrene except
| A |
Testicles are involved |
|
| B |
Obliterative arteritis seen |
|
| C |
Haemolytic streptococci, E.coli, Staphylococci, Cl. welchi can be isolated |
|
| D |
Necrotising fascitis |
Ans. is ‘a’ i.e., Testicles are involved
Fournier’s gangrene is seen in:
September 2008
| A |
Scrotum |
|
| B |
Shaft of penis |
|
| C |
Base of penis |
|
| D |
Glans penis |
Fournier’s gangrene is seen in:
September 2008
| A |
Scrotum |
|
| B |
Shaft of penis |
|
| C |
Base of penis |
|
| D |
Glans penis |
Ans. A: Scrotum
Idiopathic scrotal gangrene/Fournier’s gangrene is an uncommon condition of the scrotum.
Hemolytic streptococci are associated with other organisms (Staph., E.coli etc.) in a fulminating inflammation of the subcutaneous tissues, which results in obliterative arteritis of the arterioles to the scrotal skin.
| A |
Necrotizing fasciitis of the male genitalia and perineum |
|
| B |
Diabetes is risk factor |
|
| C |
Urgent wide surgical excision of the dead and infected tissue is essential |
|
| D |
Testis need to be removed in all cases |
Feature(s) of Fournier’s gangrene:
| A |
Necrotizing fasciitis of the male genitalia and perineum |
|
| B |
Diabetes is risk factor |
|
| C |
Urgent wide surgical excision of the dead and infected tissue is essential |
|
| D |
Testis need to be removed in all cases |
Answer- A,Necrotizing fasciitis of the male genitalia and perineum B,Diabetes is risk factor C,Urgent wide surgical excision of the dead and infected tissue is essential
- Fournier’s gangrene is a necrotizing fasctitis of the male genitalia and perineum that can be rapidly progressing and fatal if not treated promptly.
Risk factors-
- urethral
- strictures,
- perirectal abscesses,
- poor perineal hygiene,
- diabetes,
- cancer,
- human immunodeficiency virus (HIV)
Clinical features-
- Clinical signs include fevers, perineal and scrotal pain.
- Cellulitis, eschars, necrosis, flaking skin, and crepitus may all be observed.
- Treatment-
- Urgent wide surgical excision of the dead and infected tissue is essential.
