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Indexed/Abstracted in: EMBASE, Scopus, Emerging Sources Citation Index
Online ISSN 1827-1782
Falcone G. 1, Iatrino G. 1, Romano M. 1, Buscemi G. 2
1 Unità Operativa di Chirurgia Generale, dell’Uremico e dei Trapianti d’Organo Azienda Ospedaliera Universitaria Policlinico “Paolo Giaccone”, Palermo, Italia
2 U.O. di Chirurgia degli Accessi Vascolari nel Paziente Uremico Azienda Ospedaliera Universitaria Policlinico “Paolo Giaccone”, Palermo, Italia
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, immunodepressive syndromes, diabetes mellitus and traumas. Mixed types of infections involve aerobic and anaerobic germs, the latter being responsible for necrosis of the subcutaneous tissue. Therapy is synergic and multi-disciplinary, antibiotic with radical and reconstructive surgery. The Authors report a case of Fournier’s gangrene. The discuss about various type of necrotising diseases; the different etiological agents. Spreading ways of infection through extermal genitalia, anatomical structures of perineal scrotal region wich are responsible of spreading infection through fixed ways.