oa Central African Journal of Medicine - Fournier's gangrene in Dar Es Salaam

Volume 31, Issue 6
  • ISSN : 0008-9176



An analysis of nineteen cases of primary necrotising cellulitis of the male external genitalia (Fournier's gangrene) seen at Muhimbili Medical Centre (MMC) over a two-year period is presented. They constituted under 0.5% of all urological admissions. Most patients were 50-60 years of age with gangrene limited to the Scrota in about 78% of the cases. Vaginal hydrocele was the commonest associated condition found. All those who had bacterial isolates had mixed infections and chloramphenicol and metronidazole with or without penicillin is found to be the best and most logical initial regime. Removal of the Slough and eventually secondary closure or skin graft is recommended. Mean hospital stay was 25 days and there was no mortality.

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