Necrotizing Fasciitis/ Fournier’s Gangrene

Necrotizing Fasciitis/ Fournier’s Gangrene

Fournier’s Gangrene is Necrotizing Fasciitis affecting the perineum.

 It is a rapidly spreading poly microbial infection caused mainly by Gram Positive Cocci and Gram Negative Bacilli (  Both Aerobes and Anerobes). Hence called Synergistic Gangrene.

The skin over the affected area becomes gangrenous because of the thrombosis of underlying small blood vessels.

Extensive tissue necrosis occurs between the tissue planes resulting in Inflammatory Degloving, Septicemia and Renal failure.

Diagnosis can be made by clinical grounds and can be confirmed by biopsy of the necrosed tissue.

The enzyme elevated in Necrotizing Fasciitis is Creatinine kinase.

Treatment-

• Radical Surgical Debridement to remove the devitalized tissues.
• Antibiotics ( Penicillin, Third generation Cephalospoirns and Metronidazole).
• Hyperbaric Oxygen Therapy.