RT Book, Section
A1 Moore, Sarah
A1 Pedigo, Ryan
A2 Knoop, Kevin J.
A2 Stack, Lawrence B.
A2 Storrow, Alan B.
A2 Thurman, R. Jason
SR Print(0)
ID 1181041230
T1 Fournier Gangrene
T2 The Atlas of Emergency Medicine, 5e
YR 2021
FD 2021
PB McGraw-Hill
PP New York, NY
SN 9781260134940
LK accessmedicine.mhmedical.com/content.aspx?aid=1181041230
RD 2024/04/18
AB Fournier  gangrene,  a  form  of  necrotizing  fasciitis,  most  frequently  occurs  in  a  middle-aged  diabetic  man  who  presents  with  swelling,  erythema,  and  severe  pain  of  the  entire  scrotum,  but  it  is  also  known  to  occur  in  women.  In  men,  the  scrotal  contents  often  cannot  be  palpated  because  of  the  marked  inflammation.  The  patient  has  constitutional  symptoms  with  fever  and  frequently  is  in  shock.  There  is  often  a  history  of  recent  urethral  instrumentation,  an  indwelling  Foley  catheter,  or  perirectal  disease.  A  localized  area  of  fluctuance  usually  cannot  be  appreciated.