A Case of Fournier's Gangrene

Sara E. Champion, MSN, RN, FNP-C, CUNP

Disclosures

Urol Nurs. 2007;27(4):296-299. 

In This Article

Risk Factors

Predisposing medical conditions that involve the genitourinary tract or gastrointestinal tract present potential portals of entry for opportunistic bacteria (see Table 2 ). In 95% of cases, the primary site of infection can be identified (Neary, 2005). In addition to preexisting medical conditions, anything causing injury to the genital area may bring about sufficient tissue compromise to facilitate infection. These can include lacerations, abrasions, frostbite, animal or insect bite, and blunt force trauma. Diabetes mellitus and chronic alcoholism, in particular, are identified as significant risk factors for developing necrotizing fasciitis. These conditions, along with other diseases associated with immunosuppression and immunosuppressant medication, increase the likelihood of development of Fournier's (see Table 3 ).

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