Fournier's Gangrene: Relationship between the Involvement of Deep Fascia and Its Prognosis

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We treated three patients with Fournier's gangrene, in whom a male aged 75 years and a female aged 65 years were cured while a female aged 78 years died. None of them had a history of anorectal or urogenital disease. Debridement and colostomy were performed for all patients. After debridement, two patients were given imipenem cilastatin sodium and clindamycin phosphate, while the remaining one was given only imipenem cilastatin sodium. The patient who died had necessitated a continuous dopamine injection for stabilizing the blood pressure. The infectious disease was progressive, despite the extensive debridement. In Fournier's gangrene with the involvement of deep fascia, particular attention should be paid for the development of sepsis.

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