Massive Pelvic Cellulitis Mimicking Fournier's Gangrene: A Case Report and Review of The Literature

Abstract

Introduction:Fournier’s gangrene (FG), a localized form of necrotizing fasciitis (NF), is a rapidly progressive infectious disease that particularly affects the genital area. Cellulitis, however, is a mild disease that affects the skin and extremities.Case Report:We report a case involving a 71-year-old woman with a rash, extending from her thigh to her breast, which had begun two days prior to her visit to the ER. She was referred to our clinic with an initial diagnosis of extensive pelvic cellulitis mimicking Fournier's gangrene. Following the first assessment (blood glucose >500 mg/dL, pyrexia of 38.3 °C), she was admitted to the intensive care unit, where she received antibiotics and dressings and was monitored. Showing a good recovery, she was discharged in two weeks.Discussion:In the diagnosis and treatment of Fournier's gangrene, significant advancements have been made since it was first described by Jean-Alfred Fournier in 1883. The disease’s morbidity and mortality, however, is still between 25% and 35%.Conclusion:In patients with FG, early diagnosis and aggressive treatment are highly recommended.

Keywords

• cellulitis
• debridement
• fournier's gangrene
• necrotizing fasciitis