Early diagnosis of fournier’s gangrene by ultrasound and its outcome in a secondary level health care centre
International Journal of Development Research
Early diagnosis of fournier’s gangrene by ultrasound and its outcome in a secondary level health care centre
Received 26th December, 2018, Received in revised form 20th January, 2019, Accepted 15th February, 2019, Published online 31st March, 2019.
Copyright © 2019, Dr. Scott. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Fournier’s gangrene (FG) is an acute rapidly progressing infective necrotizing fasciitis of the genital, perineal and perianal regions which carries high mortality rates. We report here a case of an early diagnosis of FG by an emergency ultrasound examination in an 85 -year old gentleman and its successful outcome with early aggressive wound debridement along with broad-spectrum antibiotics. High index of clinical suspicion along with urgent ultrasound imaging clinches an early diagnosis. Sonologist detected air pockets in the subcutaneous tissues of the perineal area. Prompt diagnosis by clinical and ultrasound examination with aggressive surgical therapy, antibiotics and proper wound care gives best results.
