Although Fournier gangrene (also known as Fournier's gangrene or Fourniers gangrene) can sway women and, very rarely, children, it is ten times more likely to be found in men, particularly those aged in the middle of 60 and 80 who have an fundamental condition that makes them susceptible through immune system deficiencies.
In 60% of cases diabetes mellitus is also found to be present, almost a third of patients will have alcoholism or malnutrition, and 10% will suffer with a compromised immune system through curative intervention - chemotherapy, Hiv, steroids or cancer.
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Fournier gangrene, is defined as a polymicrobial necrotising fasciitis of the perineal, perianal, or genital areas and commonly develops when a compound of bacteria and yeast microbes charge the body through a wound which becomes infected. Trauma, surgical operation or foreign bodies, along with chronic urinary tract infections,epididymitis, genital piercings, injections and implants have all been involved as potential causes.
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Because the testicular arteries are supplied directly by the aorta, the blood furnish is cut off from the infected region so the testes themselves are rarely affected.
This localised infection spreads to the surrounding tissue and the cultures act on the assorted layers of the skin, slowly destroying the fascia which connects everything together.
Symptoms set in motion with itching and hurt of the external skin nearby scrotum but as it doesn't seem too severe and the pain sometimes diminishes as the disease progresses, sufferers do not always seek curative guidance quickly. By the time permissible tests are carried out, the skin may have come to be gangrenous.
There may be symptoms of fever, lethargy and chills accompanied by expanding pain, blush and odour.
A full analysis will be made through physical test and blood tests which will enumerate the spongy, weeping, discolored skin to be gangrenous.
The condition should be treated as an accident which will wish intravenous antibiotics and the surgical dismissal of the dead tissue. Treatments to inhibit and kill the bacteria will also be essential because, if the dead tissue is not fully removed, it can continue to spread, entering the bloodstream and causing fatal complications. The full, mortality rate is 40%, but if the bacterial infection has already entered the bloodstream, it can cause delirium, heart attack, respiratory failure, and death in 78% of cases.
It was originally named after a French venereologist called Jean-Alfred Fournier, who followed five young men with the symptoms and presented his findings in clinical lectures in 1883.
Famous sufferers from this condition may have been Herod the Great, his grandson Herod Agrippa, and perhaps the Roman emperor Galerius.
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