Observational study of risk factors and pathophysiology of idiopathic gangrene of the scrotum

Dr.Rakesh Kumar; Dr. Pankaj Kumar; Dr. Harishankar Prasad; Dr. Om Prakash bharti

Volume : V, Issue : XII, December - 2015

Observational study of risk factors and pathophysiology of idiopathic gangrene of the scrotum

Dr. Rakesh Kumar, Dr. Pankaj Kumar, Dr. Harishankar Prasad, Dr. Om Prakash Bharti

Abstract :

Necrotizing fascitis is a severe rare and lethal soft tissue infection involving scrotum, perineum, abdominal wall or extremities. This infection progresses so rapidly that mortality rate (median rate 32.2%)is high and it becomes more in presence of co–morbities such as diabetes mellitus, immunosuppression, chronic liver disease, and chronic renal disease. The clinical status of the patient varies from erythema, swelling, and tenderness in the early stage to skin ischemia with blisters and bullae in the advanced stage of infection. In its fulminant form, the patient is critically ill with signs and symptoms of severe septic shock and multiple organ dysfunctions. Early Clinical diagnosis is very much important to mange patients. Management of the infection begins with oad–spectrum antibiotics, but early and aggressive drainage and meticulous deidement constitute the mainstay of treatment. Postoperative management of the surgical wound with secondary suturing or skin grafting is also important for the patient’s survival, along with proper nutrition.