Infectious Disease Compendium

Fournier's Gangrene

Diagnosis

A mixed synergistic necrotizing fasciitis in the perineum of diabetics.

Epidemiologic Risks

Diabetes, often there is no preceding trauma.

Microbiology

Mixed/colonic flora: streptococci plus anaerobes plus coliforms.

Empiric Therapy

Surgery is the primary treatment, for antibiotics (third generation cephalosporins PLUS metronidazole) OR carbapenems alone OR (quinolone PLUS metronidazole) OR penicillin/beta-lactamase inhibitors. ALL SELECTIONS +/- aminoglycosides if septic.

Pearls

Rants

ICD9 Codes (Soon to be supplanted by ICD10)

Fournier's 608.83.