Forunier's Gangrene: A Replainable Disease

Abstract

Introduction: Fournier's gangrene is a rare disease that is defined as the infection of soft tissues and muscle fascia that are specifically necrotic, potentially fatal, of polymicrobial cause and of specific topography. Objective: presentation of a case. Method: A 59-year-old male with type 2 diabetes mellitus without treatment, with 14 days of evolution, the diagnosis of Fournier's gangrene is made, he undergoes immediate surgical management with drainage, debridement and aggressive surgical lavage and exploratory laparotomy, which despite due to the relentlessness of the infection and necrosis, his evolution was satisfactory. Discussion: the triggering factor or cataclysm of Fournier's gangrene is not known, but it is associated with its own elements that converge and create a synergy of the infectious event in the patient. Early surgical care reduces mortality by up to 16%, otherwise it increases by up to 68%. There are multiple treatment options, without leaving aside the aggressive surgical management essential in the first line but associated with sitz baths, or daily dressings, consecutive surgical washings, use of wet dressings, or negative pressure therapy. Conclusions: Fournier's gangrene is a fatal disease, which as science advances, the essence of its treatment does not change. It's surgical! where early aggressive debridement, drainage and surgical lavage is the turning point in having or not having a good prognosis.