JOURNAL ARTICLE

Necrotizing fasciitis of the perineum associated with a bartholin abscess

Michael W Morris, Marco Aru, Andrew Gaugler, Rachael F Morris, Wesley B Vanderlan
Surgical Infections 2014, 15 (2): 131-3
24116742

BACKGROUND: Perineal gangrene was first described in healthy, young males more than two and one-half centuries ago. This disease, referred to commonly as Fournier gangrene, was marked by rapid progression, high mortality, and unknown etiology. In the last century the pathologic processes were described and accounts of perineal gangrene were reported in females. This disease still demonstrates a male predominance, but mortality does not demonstrate a gender predilection.

CASE REPORT: We present a case of a Bartholin abscess progressing to necrotizing fasciitis of the perineum in a 53-year-old female following drainage and marsupialization. Perineal gangrene was treated successfully with serial debridements and a targeted antimicrobial regimen, with wound closure by secondary intention.

RESULTS: Following retrospective case review, the exact pathophysiologic cause of progression to necrotizing fasciitis of the perineum is unclear though antibiotic resistance was a likely contributor.

CONCLUSION: Clinical studies are necessary to investigate the differential incidence of this disease, which may result from diagnostic unawareness of necrotizing fasciitis of the perineum in females due to adherence to Fournier's original description or coding bias. Future clinical studies may define risk factors for disease better, and allow for standardized management and improved outcomes regardless of gender.

Full Text Links

Find Full Text Links for this Article

Discussion

You are not logged in. Sign Up or Log In to join the discussion.

Related Papers

Remove bar
Read by QxMD icon Read
24116742
×

Save your favorite articles in one place with a free QxMD account.

×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"

We want to hear from doctors like you!

Take a second to answer a survey question.