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A Case of Fournierís Gangrene Caused by Streptococcus anginosus
Ho Jun Lee1, Seouk Chan Ko1, Sung Du Kim1, Yoon Jeong Kim1, Myoung-Sook Koo2, Min-Su Kim3, and Jae-phil Choi1
Departments of 1Internal Medicine, 2Laboratory Medicine and 3Urology, Seoul Medical Center, Seoul, Korea
Vol.43 Num.1 (p60~63)
Fournierís gangrene is a rare, rapidly progressive, necrotizing fasciitis of the genital, perianal and perineal regions. It is usually caused by a synergistic infection of aerobic and anaerobic organisms. A 51-year-old male patient with diabetes mellitus and chronic renal insufficiency on peritoneal dialysis was admitted with severe scrotal pain and swelling that lasted 4 days. An emergent non-contrast-enhanced computed tomography revealed extensive gas formation, fatty haziness and edema in the left scrotal and inguinal area. The patient was successfully treated with immediate surgical debridements and antibiotics. Streptococcus anginosus group Streptococcus anginosus was isolated from surgical wound cultures and identified with biochemical identification methods and direct sequencing of DNA. Herein, we report a rare case of Fournierís gangrene caused by S. anginosus . We also review the relevant literature.
Keywords : Fournierís gangrene, Streptococcus anginosus