Immediate surgery and urology consult for surgical debridement<unk>  can spread at rate of 2-3 cm/hr)
Antibiotics - Must cover gram positive, gram negative, and anaerobes
Vancomycin + (imipenem 1gm IV q24hr OR meropenem 500mg-1gm IV q8hr OR piperacillin-tazobactam 3.375gm to 4.5gm IV q6h) +/- (clindamycin 600mg-900mg IV q8h OR metronidazole 1gm IV then 500mg IV q8h)
Piperacillin-Tazobactam 3.375-4.5g q6hr and linezolid 600mg q12hr is an alternative regimen
Aggressive supportive care, including fluid resuscitation (and pressors, if indicated)
Vancomycin + (imipenem 1gm IV q24hr OR meropenem 500mg-1gm IV q8hr OR piperacillin-tazobactam 3.375gm to 4.5gm IV q6h) +/- (clindamycin 600mg-900mg IV q8h OR metronidazole 1gm IV then 500mg IV q8h)
Piperacillin-Tazobactam 3.375-4.5g q6hr and linezolid 600mg q12hr is an alternative regimen
Fournier gangrene
Scrotal cellulitis
Wet gangrene
Epididymitis
Dry gangrene
Venous gangrene
Hematocele
Necrotizing cellulitis