Abstract
Fournier's gangrene is a necrotizing fasciitis of the scrotum or perineum that may extend by way of the fascial planes to the penis and the anterior abdominal wall up to the clavicles, buttocks, or lower extremities. It is a life-threatening progressive disease that requires aggressive antibiotic therapy and early radical debridement. Sparganosis is a parasitic infection that occurs principally in cats and dogs, but human infestations have been reported, albeit rarely. Recently, we experienced a case of Fournier's gangrene associated with sparganosis in the scrotum, which was treated with antibiotics and extensive debridement including removal of a white, flat, shiny sparganum worm.
Publication types
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Case Reports
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Research Support, Non-U.S. Gov't
MeSH terms
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Alcoholism / complications
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Amikacin / therapeutic use
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Animals
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Cefazolin / therapeutic use
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Debridement
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Diabetes Mellitus, Type 2 / complications
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Drug Therapy, Combination / therapeutic use
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Escherichia coli Infections / complications*
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Escherichia coli Infections / drug therapy
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Escherichia coli Infections / surgery
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Food Parasitology
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Fournier Gangrene / drug therapy
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Fournier Gangrene / etiology*
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Fournier Gangrene / surgery
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Humans
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Male
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Meat / parasitology
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Middle Aged
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Ranidae / parasitology
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Scrotum / parasitology*
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Scrotum / surgery
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Snakes / parasitology
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Sparganosis / complications*
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Sparganosis / drug therapy
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Sparganosis / surgery
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Streptococcal Infections / complications*
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Streptococcal Infections / drug therapy
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Streptococcal Infections / surgery