Diagnosis | Fournier Gangrene

Diagnosis

Since a Fournier’s gangrene leads to a rapid spread and progression of the infection, a so-called gaze diagnosis is usually possible. This means that the corresponding physician only has to take a look at it to make a suspected diagnosis. Even in doubtful cases the doctor will initiate immediate therapy.

The reason is the high mortality (mortality) of a Fournier gangrene, which is why an elaborate diagnosis takes up valuable time. In any case, a blood sample is part of the diagnosis to see how advanced the infection is or if septic parameters can already be determined. A smear of the gangrene is also taken to classify the corresponding pathogens and to find an optimal antibiotic.

What is the transmission path?

Bacterial infection in Fournier’s gangrene can occur in different ways. One possibility is that the bacteria enter the tissue through small wounds in the skin and multiply there. It is also possible that the bacteria naturally occurring in the intestine (e.g. Escherichia coli) are transmitted to the perineal or genital region.

Another option is an infection of the urinary tract, for example in the form of a bladder infection. Frequently an infection of the anal or urethral glands occurs. There the bacteria multiply and then spread along the fascia.

Associated symptoms

A Fournier Gangrene is always accompanied by skin changes in the form of redness, swelling, livid discoloration, severe pain or a bad smell. In the early stages it can also cause itching in the genital area. Accompanying Fournier Gangrene, especially in the later stages, there is also a strong fever, increased heart rate and a bad general condition.

The reason is the systemic co-reaction and the secretion of bacterial toxins (poisons). This can also lead to shock symptoms. This means that the patient compensates a much too low blood pressure by an increased heart rate. This can lead to unconsciousness, paleness, cold feeling, tingling in the limbs, organ failure or death. Transmission of the infection to other organs is also possible.