Fournier's gangrene, rare but life threatening disease, is characterized by an acute necrotic infection of the scrotum, penis, or perineum. Fournier's gangrene is a mixed infection caused by both aerobic and anaerobic bacteria. Fournier's gangrene caused by multidrug resistant Acinetobacter baumannii have been reported rarely. The mainstay of treatment is prompt recognition and a combination of antibiotics with radical debridement. We describe a case of a 56-year-old male patient presenting with neglected Fournier's gangrene caused by Acinetobacter baumannii. Many treatment modalities including broad-spectrum antibiotics, aggressive debridement, negative pressure wound therapy, diversion colostomy, and partial-thickness skin grafts were applied to save the patient's life.
C1 [Emre, Arif; Sertkaya, Mehmet; Kale, Ilhami Taner] Kahramanmaras Sutcu Imam Univ, Dept Surg, Fac Med, TR-46100 Kahramanmaras, Turkey.
[Akbulut, Sami] Inonu Univ, Dept Surg, Fac Med, TR-44280 Malatya, Turkey.
[Akbulut, Sami] Inonu Univ, Liver Transplant Inst, Fac Med, TR-44280 Malatya, Turkey.
[Duman, Yakup] Kahramanmaras Sutcu Imam Univ, Dept Plast & Reconstruct Surg, Fac Med, TR-46100 Kahramanmaras, Turkey.