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Fournier gangrene, as first reported in 1883 by Dr Jean Fournier, described an unusual necrotizing cellulitis of the male genitalia. The term evolved to encompass necrotizing soft tissue infections of the perineum and genital regions in females and males, children and adults.¹ Fournier gangrene is a true surgical emergency, with an overall mortality rate of 16% to 30%.^1-2 The skin lesion is often mistaken for simple cellulitis. Without timely aggressive treatment, the disease rapidly progresses to violaceous discoloration and frank necrosis. We describe 2 patients with Fournier gangrene who presented with different appearances of gangrenous scrotum.

Report of Cases

Case 1

A 43-year-old man with a history of nasopharyngeal carcinoma with hepatic metastasis presented with a 2-day history of fever and the abrupt onset of a gangrenous scrotum (Figure 1). Three weeks before presentation, he had completed a course of chemotherapy. Laboratory tests revealed relative leukopenia (white blood cell count, 3.5 x 10³/µL; . . . [Full Text of this Article]

Case 2

Comment

AUTHOR INFORMATION
I-Jing Chang, MD; Chien-Chang Lee, MD, MSc; Shy-Ying Chen, MD