Fournier's gangrene of the penis in a 12 year old patient secondary to phimosis.
We report a case of Fournier's gangrene in a 12 year old boy from St. Boniface Hospital in Fond des Blancs, Haiti. Fournier's gangrene, a fulminant necrotizing fasciitis of the penis and scrotum, is a rare and life threatening infection that requires hospitalization, broad spectrum antibiotics, and surgical debridement.1 3 It is usually associated with impaired cellular immunity due to systemic disorders such as diabetes and liver disease.4,5 This patient had none of those risk factors, but had severe, longstanding phimosis, for which circumcision had been recommended many years before. This case illustrates how lack of access to basic surgical care for an easily treatable condition leads to advanced presentation of a severe disease process. [Full article available at http:/rimed.org/rimedicaljournal 2016 12.asp]
Rhode Island medical journal