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. 1991 Aug;67(4):339–341. doi: 10.1136/sti.67.4.339

Fournier's gangrene of scrotum in a patient with AIDS.

M Murphy 1, M Buckley 1, J Corr 1, S Vinayagamoorthy 1, R Grainger 1, F M Mulcahy 1
PMCID: PMC1194713  PMID: 1916798

Abstract

Fournier's gangrene of the scrotum, a form of necrotising fasciitis, is a rare but potentially fatal disorder. Predisposing conditions include chronic alcoholism and diabetes mellitus, possibly as a result of impaired immunity. Fournier's syndrome, occurring in a patient with AIDS, is described.

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Selected References

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  1. Ellis M., Gupta S., Galant S., Hakim S., VandeVen C., Toy C., Cairo M. S. Impaired neutrophil function in patients with AIDS or AIDS-related complex: a comprehensive evaluation. J Infect Dis. 1988 Dec;158(6):1268–1276. doi: 10.1093/infdis/158.6.1268. [DOI] [PubMed] [Google Scholar]
  2. Jacobson M. A., Gellermann H., Chambers H. Staphylococcus aureus bacteremia and recurrent staphylococcal infection in patients with acquired immunodeficiency syndrome and AIDS-related complex. Am J Med. 1988 Aug;85(2):172–176. doi: 10.1016/s0002-9343(88)80337-1. [DOI] [PubMed] [Google Scholar]
  3. Jones R. B., Hirschmann J. V., Brown G. S., Tremann J. A. Fournier's syndrome: necrotizing subcutaneous infection of the male genitalia. J Urol. 1979 Sep;122(3):279–282. doi: 10.1016/s0022-5347(17)56367-3. [DOI] [PubMed] [Google Scholar]
  4. Lane H. C., Masur H., Edgar L. C., Whalen G., Rook A. H., Fauci A. S. Abnormalities of B-cell activation and immunoregulation in patients with the acquired immunodeficiency syndrome. N Engl J Med. 1983 Aug 25;309(8):453–458. doi: 10.1056/NEJM198308253090803. [DOI] [PubMed] [Google Scholar]
  5. Nichols L., Balogh K., Silverman M. Bacterial infections in the acquired immune deficiency syndrome. Clinicopathologic correlations in a series of autopsy cases. Am J Clin Pathol. 1989 Dec;92(6):787–790. doi: 10.1093/ajcp/92.6.787. [DOI] [PubMed] [Google Scholar]
  6. Nickel J. C., Morales A. Necrotizing fasciitis of the male genitalia (Fournier's gangrene). Can Med Assoc J. 1983 Sep 1;129(5):445–448. [PMC free article] [PubMed] [Google Scholar]
  7. Nolan C. M., Beaty H. N., Bagdade J. D. Further characterization of the impaired bactericidal function of granulocytes in patients with poorly controlled diabetes. Diabetes. 1978 Sep;27(9):889–894. doi: 10.2337/diab.27.9.889. [DOI] [PubMed] [Google Scholar]
  8. Polsky B., Gold J. W., Whimbey E., Dryjanski J., Brown A. E., Schiffman G., Armstrong D. Bacterial pneumonia in patients with the acquired immunodeficiency syndrome. Ann Intern Med. 1986 Jan;104(1):38–41. doi: 10.7326/0003-4819-104-1-38. [DOI] [PubMed] [Google Scholar]
  9. Rayfield E. J., Ault M. J., Keusch G. T., Brothers M. J., Nechemias C., Smith H. Infection and diabetes: the case for glucose control. Am J Med. 1982 Mar;72(3):439–450. doi: 10.1016/0002-9343(82)90511-3. [DOI] [PubMed] [Google Scholar]
  10. Rudolph R., Soloway M., DePalma R. G., Persky L. Fournier's syndrome: synergistic gangrene of the scrotum. Am J Surg. 1975 May;129(5):591–596. doi: 10.1016/0002-9610(75)90324-4. [DOI] [PubMed] [Google Scholar]
  11. Selwyn P. A., Feingold A. R., Hartel D., Schoenbaum E. E., Alderman M. H., Klein R. S., Friedland G. H. Increased risk of bacterial pneumonia in HIV-infected intravenous drug users without AIDS. AIDS. 1988 Aug;2(4):267–272. doi: 10.1097/00002030-198808000-00005. [DOI] [PubMed] [Google Scholar]
  12. Spirnak J. P., Resnick M. I., Hampel N., Persky L. Fournier's gangrene: report of 20 patients. J Urol. 1984 Feb;131(2):289–291. doi: 10.1016/s0022-5347(17)50351-1. [DOI] [PubMed] [Google Scholar]
  13. Wolach M. D., MacDermott J. P., Stone A. R., deVere White R. W. Treatment and complications of Fournier's gangrene. Br J Urol. 1989 Sep;64(3):310–314. doi: 10.1111/j.1464-410x.1989.tb06020.x. [DOI] [PubMed] [Google Scholar]

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