Table 1.
Case reports of acute leukemia presenting as Fournier’s gangrene: demographics, blood counts, culture data, leukemia with time of diagnosis, treatment course, and outcomes.
| Age | Sex | Blood counts | Culture data | Leukemia details | Treatment | Outcome | Reference |
|---|---|---|---|---|---|---|---|
| 50 years | Male | WBC: 10.5 × 103/mm3
Hgb: 7.7 g/dL Plt: 17 × 103/mm3 Myeloblasts: 49% |
Surgical (E. coli) Blood (negative) Urine (negative) |
Acute promyelocytic Postmortem |
Ciprofloxacin Clindamycin Penicillin G |
Death | Oiso et al.13 |
| 33 years | Male | WBC: 1.9 × 103/mm3
Hgb: 8 g/dL Plt: 50 × 103/mm3 Myeloblasts: NR |
Surgical (Bacteroides fragilis) Blood (B. fragilis) |
Acute myelomonocytic After antibiotic initiation by 1 week |
Antibiotics NR Chemotherapy |
Death with chemotherapy induction | Islamoglu et al.12 |
| 4 days | Female | WBC: 2.1 → 18.5 × 103/mm3
Hgb: 8.8 g/dL Plt: 21 × 103/mm3 Myeloblasts: 0% → 52% |
Surgical (Pseudomonas aeruginosa) Blood (P. aeruginosa) |
Acute myelogenous After antibiotic initiation, timing NR |
Meropenem Vancomycin Chemotherapy declined |
Death | Mosayebi et al.14 |
WBC: white blood cells; Hgb: hemoglobin; Plt: platelets; NR: not reported.