Treating Fournier gangrene, or necrotizing fasciitis of the male genitals

August 27, 2009

Fournier gangrene one of the nastiest infections you’ll ever see.

General surgeon Jeffery Parks details a case, complete with a vivid CT scan:

Treating Fournier gangrene, or necrotizing fasciitis of the male genitals

Dr. Parks takes us behind the scenes in treating the condition, which requires rapid surgical debridement. “There’s nothing fancy about this surgery,” he writes. “You cut and debride until all the necrotic fat and skin and muscle is gone. It leaves a horrible wound. Sometimes you have to divert stool with a colostomy to facilitate clean wound care post-operatively.”

He provides some other clinical clues to the condition, including, a markedly high white count, a low blood pressure, “popping” or crackling sounds under the skin, otherwise known as crepitus, and extreme pain.

It’s a condition I wouldn’t wish on my worst enemy.

Update:
The patient in the case Dr. Parks described is female. Apologies for the error.



Related posts:

  1. Female vs male physicians
  2. Sponges during surgery
  3. Are female surgeons happier than their male counterparts?
  4. US physicians kick butt on hypertension control
  5. Ways you can die from having sex
  6. "My incision has popped open!"
  7. The young and the medicated


KevinMD.com on Facebook


  Follow on Twitter   Subscribe



{ 3 comments }

1 GingerB August 27, 2009 at 10:50 am

Parks refers to the patient as a “she.”

2 Kevin August 27, 2009 at 10:51 am

Yes, someone already pointed that out to me. Apologies for the mistake.

Kevin

3 Bikash Satapathy September 4, 2009 at 12:44 pm

One must read Park’s disclaimer .
It is hilarious.
1. The cases and stories described on this blog are a fictional creation of the author.
How come he gives a CT scan (of which I could hardly undrstand anything) and states in the disclaimer it to be not true?
But then I became aware of the fact that Fournier’s gangrene is not all about shameful exposure of testis (It can happen to females also).

Comments on this entry are closed.

Previous post: Drug company ethics and the pharmaceutical industry’s pursuit of profit

Next post: How did Mozart die, and was a strep infection involved?

Site Meter