Fournier’s gangrene is a form of Necrotizing fascitis occurring about the Male genitalia i.e., Scrotum, Penis and occasionally extending up to anterior abdominal wall. The usual causative organisms are mixed aerobic and anaerobic organisms due to Periurethral, groin or anorectal sepsis which may be some times trivial. Condition is best treated with immediate hospitalization early parenteral broad spectrum antibiotics and timely debridement of involved tissues followed by skin grafting of raw areas.Fournier’s gangrene involving only Penis is very rare and is being reported. Introduction Fournier’s gangrene is a form of Necrotizing fascitis occurring about the male genitalia1 It generally involves Scrotum and Penis with occasional extension up to the abdominal wall. Only few cases of Fournier’s gangrene of Penis have been reported 2,3. We report one such case in which only Penis is involved without involvement of Scrotum or Abdominal wall. Case Report A 35yr. old married man presented with swelling and blackish discolouration of Penis with Fever and local pain of 3 days duration. There was no history of trauma or instrumentation or any sepsis in the genito-perineal area. Patient had history of Prepucial abrasions during sexual intercourse 5 days back. Two days after which he developed severe swelling of Penis with brownish–black discolouration with small bullae. Patient is not diabetic.On general examination, patient had fever and vital signs showed tachycardia with normal Blood pressure.Local examination revealed foul smelling blackish discolouration of entire Penile Skin upto Peno-Scrotal junction without any clear line of demarcation with almost sloughed Penile Skin over the Ventral aspect.( Figures 1, 2)
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