ISSN 0303-5212
 
2025, Vol: 50, Issue: 4
50 / 4Current Issue Online FirstArchiveAims and ScopeAbstracting & IndexingMost Accessed ArticlesMost Downloaded ArticlesMost Cited Articles
Required files to be uploaded

Author_Certificate
Bank Reciept

Original Research
Online Published: 07 Jun 2013
 
RMJ. 2013; 38(2): 160-164


Etiological factors and treatment outcome of genital and perineal necrotizing fascitis (Fournier’s Gangrene)

Khush Muhammad Sohu, Azhar Ali Shah, Shahid Hussain Mirani, Ghulam Hyder Rind, Bushra Shaikh.


Abstract
Introduction: Fournier’s gangrene (FG) is the necrotizing fasciitis of the perineum and genital area with high mortality. This condition is more commonly seen in patients with uncontrolled diabetes mellitus. Patients and Methods: A retrospective review of 82 patients, diagnosed with FG from January 2007 to December 2011 was made & divided into two groups- those who survived (survivors) and those who did not (nonsurvivors). We analyzed clinical and laboratory data. Results: The mortality rate remained 36.6% (30/82 patients). Increased heart and respiratory rates, elevated serum creatinine, pre-existing kidney disease, and higher extent of affected body surface were associated with higher mortality. Severe sepsis on admission and hypotension below 90 mm Hg were also predictive for higher mortality. The median FG severity index (FGSI) score was higher in nonsurvivors (22 compared to 12, p < 0.0001). Conclusion: Besides standard clinical and laboratory parameters included in the FGSI calculation, higher extent of affected body surface area and presence of hypotension on admission were also positively associated with mortality. Early clinical identification & prompt aggressive treatment are essential for reducing mortality & morbidity in patients with this disease.

Key words: Fournier’s gangrene, Necrotizing fasciitis, surgical emergency, Severity index.


 
ARTICLE TOOLS
Abstract
PDF Fulltext
How to cite this articleHow to cite this article
Citation Tools
Related Records
 Articles by Khush Muhammad Sohu
Articles by Azhar Ali Shah
Articles by Shahid Hussain Mirani
Articles by Ghulam Hyder Rind
Articles by Bushra Shaikh
on Google
on Google Scholar

How to Cite this Article
Pubmed Style

Sohu KM, Shah AA, Mirani SH, Rind GH, Shaikh B. Etiological factors and treatment outcome of genital and perineal necrotizing fascitis (Fournier’s Gangrene). RMJ. 2013; 38(2): 160-164.

Web Style

Sohu KM, Shah AA, Mirani SH, Rind GH, Shaikh B. Etiological factors and treatment outcome of genital and perineal necrotizing fascitis (Fournier’s Gangrene). https://www.rmj.org.pk/?mno=29163 [Access: October 30, 2025].

AMA (American Medical Association) Style

Sohu KM, Shah AA, Mirani SH, Rind GH, Shaikh B. Etiological factors and treatment outcome of genital and perineal necrotizing fascitis (Fournier’s Gangrene). RMJ. 2013; 38(2): 160-164.


Vancouver/ICMJE Style

Sohu KM, Shah AA, Mirani SH, Rind GH, Shaikh B. Etiological factors and treatment outcome of genital and perineal necrotizing fascitis (Fournier’s Gangrene). RMJ. (2013), [cited October 30, 2025]; 38(2): 160-164.


Harvard Style

Sohu, K. M., Shah, . A. A., Mirani, . S. H., Rind, . G. H. & Shaikh, . B. (2013) Etiological factors and treatment outcome of genital and perineal necrotizing fascitis (Fournier’s Gangrene). RMJ, 38 (2), 160-164.


Turabian Style

Sohu, Khush Muhammad, Azhar Ali Shah, Shahid Hussain Mirani, Ghulam Hyder Rind, and Bushra Shaikh. 2013. Etiological factors and treatment outcome of genital and perineal necrotizing fascitis (Fournier’s Gangrene). Rawal Medical Journal, 38 (2), 160-164.


Chicago Style

Sohu, Khush Muhammad, Azhar Ali Shah, Shahid Hussain Mirani, Ghulam Hyder Rind, and Bushra Shaikh. "Etiological factors and treatment outcome of genital and perineal necrotizing fascitis (Fournier’s Gangrene)." Rawal Medical Journal 38 (2013), 160-164.


MLA (The Modern Language Association) Style

Sohu, Khush Muhammad, Azhar Ali Shah, Shahid Hussain Mirani, Ghulam Hyder Rind, and Bushra Shaikh. "Etiological factors and treatment outcome of genital and perineal necrotizing fascitis (Fournier’s Gangrene)." Rawal Medical Journal 38.2 (2013), 160-164. Print.


APA (American Psychological Association) Style

Sohu, K. M., Shah, . A. A., Mirani, . S. H., Rind, . G. H. & Shaikh, . B. (2013) Etiological factors and treatment outcome of genital and perineal necrotizing fascitis (Fournier’s Gangrene). Rawal Medical Journal, 38 (2), 160-164.


Author LoginReviewer LoginEditorial PoliciesConflict of Interest PolicyPlagiarism PolicyAdvertising Policy

About Rawal Medical Journal

Publication, subscription and Editorial office PMA House G/220-B Liaquat Road, Rawalpindi. Phone: 051-555-9812, Fax: 051-553-7088 Email: drnkhokhar@ya ... Read more.



For best results, please use Internet Explorer or Google Chrome.

Contact Information