International Journal of Gerontology
Volume 2, Issue 2 , Pages 48-54 , June 2008

Fournier's Gangrene in Elderly Patients

  • Ssu-Ming Huang

      Affiliations

    • Division of Colon and Rectal Surgery, Department of Surgery, China Medical University Hospital, Taichung, Taipei, Taiwan
  • ,
  • Hsien Hsu

      Affiliations

    • Division of Colon and Rectal Surgery, Department of Surgery, Mackay Memorial Hospital, Taipei, Taiwan
    • Corresponding Author InformationCorrespondence to: Dr Hsi-Hsien Hsu, Division of Colon and Rectal Surgery, Department of Surgery, Mackay Memorial Hospital, 92, Section 2, Chung-San North Road, Taipei, Taiwan

,Accepted 15 March 2008.

References 

  1. Fournier JA . Gangrene foudroyante de la verge . Med Prat . 1883;4:589–596
  2. Smith GL , Bunker CB , Dinneen MD . Fournier's gangrene . Br J Urol . 1998;81:347–355
  3. Spirnak JP , Resnick MI , Hampel N , Persky L . Fournier's gangrene: report of 20 patients . J Urol . 1984;131:289–291
  4. Clayton MD , Fowler JE , Sharifi R , Pearl RK . Causes, presentation and survival of fifty-seven patients with necrotizing fasciitis of the male genitalia . Surg Gynecol Obstet . 1990;170:49–55
  5. Stephens BJ , Lathrop JC , Rice WT , Gruenberg JC . Fournier's gangrene: historic (1764–1978) versus contemporary (1979–1988) differences in etiology and clinical importance . Am Surg . 1993;59:149–154
  6. Flanigan RC , Kursh ED , McDougal WS , Persky L . Synergistic gangrene of the scrotum and penis secondary to colorectal disease . J Urol . 1978;119:369–371
  7. Laor E , Palmer LS , Tolia BM , Reid RE , Winter HI . Outcome prediction in patients with Fournier's gangrene . J Urol . 1995;154:89–92
  8. McHenry CR , Piotrowski JJ , Petrinic D , Malangoni MA . Determinants of mortality for necrotizing soft-tissue infections . Ann Surg . 1995;221:558–563 discussion 563–5.
  9. Elliott D , Kufera JA , Myers RA . The microbiology of necrotizing soft tissue infections . Am J Surg . 2000;179:361–366
  10. Korhonen K , Hirn M , Niinikoski J . Hyperbaric oxygen in the treatment of Fournier's gangrene . Eur J Surg . 1998;164:251–255
  11. Eke N . Fournier's gangrene: a review of 1726 cases . Br J Surg . 2000;87:718–728
  12. Hollabaugh RS , Dmochowski RR , Hickerson WL , Cox CE . Fournier's gangrene: therapeutic impact of hyperbaric oxygen . Plast Reconstr Surg . 1998;101:94–100
  13. Korhonen K . Hyperbaric oxygen therapy in acute necrotizing infections. With a special reference to the effects on tissue gas tensions . Ann Chir Gynaecol . 2000;89(Suppl 214):7–36
  14. Olsofka JN , Carrillo EH , Spain DA , Polk HC . The continuing challenge of Fournier's gangrene in the 1990s . Am Surg . 1999;65:1156–1159
  15. Yaghan RJ , Al-Jaberi TM , Bani-Hani I . Fournier's gangrene: changing face of the disease . Dis Colon Rectum . 2000;43:1300–1308
  16. Baolu M , Gül O , Yildirgan I , Balik AA , Ozbey I , Oren D . Fournier's gangrene: review of fifteen cases . Am Surg . 1997;63:1019–1021
  17. Hejase MJ , Simonin JE , Bihrle R , Coogan CL . Genital Fournier's gangrene: experience with 38 patients . Urology . 1996;47:734–739
  18. Benizri E , Fabiani P , Migliori G , Chevallier D , Peyrottes A , Raucoules M , et al.   Gangrene of the perineum . Urology . 1996;47:935–939
  19. Baskin LS , Carroll PR , Cattolica EV , McAninch JW . Necrotising soft tissue infections of the perineum and genitalia. Bacteriology, treatment and risk assessment . Br J Urol . 1990;65:524–529
  20. Ahrenholz DH . Necrotizing soft-tissue infections . Surg Clin North Am . 1988;68:199–214
  21. Scott SD , Dawes RF , Tate JJ , Royle GT , Karran SJ . The practical management of Fournier's gangrene . Ann R Coll Surg Engl . 1988;70:16–20
  22. Gerber GS , Guss SP , Pielet RW . Fournier's gangrene secondary to intra-abdominal processes . Urology . 1994;44:779–782
  23. Gamagami RA , Mostafavi M , Gamagami A , Lazorthes F . Fournier's gangrene: an unusual presentation for rectal carcinoma . Am J Gastroenterol . 1998;93:657–658
  24. Gould SW , Banwell P , Glazer G . Perforated colonic carcinoma presenting as epididymo-orchitis and Fournier's gangrene . Eur J Surg Oncol . 1997;23:367–368
  25. Brings HA , Matthews R , Brinkman J , Rotolo J . Crohn's disease presenting with Fournier's gangrene and enterovesical fistula . Am Surg . 1997;63:401–405
  26. Jiang T , Covington JA , Haile CA , Murphy JB , Rotolo FS , Lake AM . Fournier gangrene associated with Crohn disease . Mayo Clin Proc . 2000;75:647–649
  27. Ong HS , Ho YH . Genitoperineal gangrene: experience in Singapore . Aust NZ J Surg . 1996;66:291–293
  28. Rajbhandari SM , Wilson RM . Unusual infections in diabetes . Diabetes Res Clin Pract . 1998;39:123–128
  29. Efem SE . The features and aetiology of Fournier's gangrene . Postgrad Med J . 1994;70:568–571
  30. Tripathi FM , Khanna NN , Venkateshwarlu V , Sinha JK . Gangrene of the scrotum: a series of 20 cases . Br J Plast Surg . 1978;31:242–243
  31. Chen DY . Updated therapy in elderly patients with knee osteoarthritis . Int J Gerontol . 2007;1:31–39
  32. Martin GS , Mannino DM , Eaton S , Moss M . The epidemiology of sepsis in the United States from 1979 through 2000 . N Engl J Med . 2003;348:1546–1554
  33. Franceschi C , Monti D , Sansoni P , Cossarizza A . The immunology of exceptional individuals: the lesson of centenarians . Immunol Today . 1995;16:12–16
  34. Jarrett PG , Rockwood K , Carver D , Stolee P , Cosway S . Illness presentation in elderly patients . Arch Intern Med . 1995;155:1060–1064
  35. Jones RB , Hirschmann JV , Brown GS , Tremann JA . Fournier's syndrome: necrotizing subcutaneous infection of the male genitalia . J Urol . 1979;122:279–282
  36. Sutherland ME , Meyer AA . Necrotizing soft-tissue infections . Surg Clin North Am . 1994;74:591–607
  37. Porru D , Pasquale Chessa P . Fournier's disease. Report of a case and review of the literature . Arch Esp Urol . 1991;44:1029–1032
  38. Wolach MD , MacDermott JP , Stone AR , deVere White RW . Treatment and complications of Fournier's gangrene . Br J Urol . 1989;64:310–314
  39. Ledingham IM , Tehrani MA . Diagnosis, clinical course and treatment of acute dermal gangrene . Br J Surg . 1975;62:364–372
  40. Di Falco G , Guccione C , D'Annibale A , Ronsisvalle S , Lavezzo P , Fregonese D , et al.   Fournier's gangrene following a perianal abscess . Dis Colon Rectum . 1986;29:582–585
  41. Okizuka H , Sugimura K , Yoshizako T . Fournier's gangrene: diagnosis based on MR findings . AJR Am J Roentgenol . 1992;158:1173–1174
  42. Amendola MA , Casillas J , Joseph R , Antun R , Galindez O . Fournier's gangrene: CT findings . Abdom Imaging . 1994;19:471–474
  43. Laucks SS . Fournier's gangrene . Surg Clin North Am . 1994;74:1339–1352
  44. Biyani CS , Mayor PE , Powell CS . Case report: Fournier's gangrene: roentgenographic and sonographic findings . Clin Radiol . 1995;50:728–729
  45. Dogra VS , Smeltzer JS , Poblette J . Sonographic diagnosis of Fournier's gangrene . J Clin Ultrasound . 1994;22:571–572
  46. Kane CJ , Nash P , McAninch JW . Ultrasonographic appearance of necrotizing gangrene: aid in early diagnosis . Urology . 1996;48:142–144
  47. Miller JD . The importance of early diagnosis and surgical treatment of necrotizing fasciitis . Surg Gynecol Obstet . 1983;157:197–200
  48. Larcan A , Laprevote-Heully MC , Lambert H , Mantz JM , Tempe JD , Sauder P , et al.   Les gangrènes gazeuses périnéales . In: Les Anaérobies, Microbiologie, Pathologie . Paris: Masson; 1981;p. 232–242
  49. Paty R , Smith AD . Gangrene and Fournier's gangrene . Urol Clin North Am . 1992;19:149–162
  50. Kaiser RE , Cerra FB . Progressive necrotizing surgical infections: a unified approach . J Trauma . 1981;21:349–355
  51. Caird J , Abbasakoor F , Quill R . Necrotising fasciitis in a HIV positive male: an unusual indication for abdominoperineal resection . Ir J Med Sci . 1999;168:251–253
  52. Palmer LS , Winter HI , Tolia BM , Reid RE , Laor E . The limited impact of involved surface area and surgical debridement on survival in Fournier's gangrene . Br J Urol . 1995;76:208–212
  53. Capelli-Schellpfeffer M , Gerber GS . The use of hyperbaric oxygen in urology . J Urol . 1999;162:647–654
  54. Bubrick MP , Hitchcock CR . Necrotizing anorectal and perineal infections . Surgery . 1979;86:655–662
  55. Salvino C , Harford FJ , Dobrin PB . Necrotizing infections of the perineum . South Med J . 1993;86:908–911
  56. Frezza EE , Atlas I . Minimal debridement in the treatment of Fournier's gangrene . Am Surg . 1999;65:1031–1034
  57. Shupak A , Shoshani O , Goldenberg I , Barzilai A , Moskuna R , Bursztein S . Necrotizing fasciitis: an indication for hyperbaric oxygenation therapy? . Surgery . 1995;118:873–878
  58. Berg A , Armitage JO , Burns CP . Fournier's gangrene complicating aggressive therapy for hematologic malignancy . Cancer . 1986;57:2291–2294
  59. Martinelli G , Alessandrino EP , Bernasconi P , Caldera D , Colombo A , Malcovati L , et al.   Fournier's gangrene: a clinical presentation of necrotizing fasciitis after bone marrow transplantation . Bone Marrow Transplant . 1998;22:1023–1026
  60. Elem B , Ranjan P . Impact of immunodeficiency virus (HIV) on Fournier's gangrene: observations in Zambia . Ann R Coll Surg Engl . 1995;77:283–286
  61. Oh C , Lee C , Jacobson JH . Necrotizing fasciitis of perineum . Surgery . 1982;91:49–51
  62. Enriquez JM , Moreno S , Devesa M , Morales V , Platas A , Vicente E . Fournier's syndrome of urogenital and anorectal origin. A retrospective, comparative study . Dis Colon Rectum . 1987;30:33–37
  63. Darke SG , King AM , Slack WK . Gas gangrene and related infection: classification, clinical features and aetiology, management and mortality. A report of 88 cases . Br J Surg . 1977;64:104–112

PII: S1873-9598(08)70010-3

doi: 10.1016/S1873-9598(08)70010-3

International Journal of Gerontology
Volume 2, Issue 2 , Pages 48-54 , June 2008