Presentation
Diabetes and hypertension. Concern of perirectal abcess.
Patient Data
Age: 55 years
Gender: Male
From the case:
Fournier gangrene
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Info
Numerous fine locules of mottled subcutaneous gas within the perineum, scrotum, about the right testicle, and ascending along the right spermatic cord. No organized fluid collections.
Case Discussion
This is a classic appearance of necrotizing soft tissue infection of the scrotum, most common in diabetic patients. This is managed with aggressive surgical debridement, as in this case.
Culture results:
Enterococcus faecium
Streptococcus, viridans group
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