Treatment of a case of Fournier’s gangrene after a perianal abscess debridement

Madan Bhandari; Naveen Rao; Prasanna Narasimha Rao; B. J. Gopikrishna

doi:10.53517/JCKHH.2581-3331.422020210

Madan Bhandari Department of Clinical Pharmacology, Medicine and Therapeutics, College of Medicine, Al-Mustansiriya University, P.O. Box 14132, Baghdad, Iraq
Naveen Rao Department of Clinical Pharmacology, Medicine and Therapeutics, College of Medicine, Al-Mustansiriya University, P.O. Box 14132, Baghdad, Iraq
Prasanna Narasimha Rao Department of Clinical Pharmacology, Medicine and Therapeutics, College of Medicine, Al-Mustansiriya University, P.O. Box 14132, Baghdad, Iraq
B. J. Gopikrishna Department of Clinical Pharmacology, Medicine and Therapeutics, College of Medicine, Al-Mustansiriya University, P.O. Box 14132, Baghdad, Iraq

DOI: https://doi.org/10.53517/JCKHH.2581-3331.422020210

Keywords: Fournier’s gangrene Perianal abscess Surgical wound Yastimadhu taila

Abstract

Fournier’s gangrene is rapidly progressive and potentially fatal infective necrotising fasciitis affecting the external genitalia, perineal or perianal regions. Among many sources of infection, perianal surgical manipulation is one of the major contributing factors. A 45-years diabetic patient who had recently undergone surgical debridement elsewhere to treat a perianal abscess visited SDM Ayurvedic hospital with mild scrotal pain and an unhealthy surgical wound. He was treated surgically with broad-spectrum antibiotics, strict control of hyperglycemia, regular minimum debridement of wound and dressing with a Yashtimadhu taila (an herbal oil with Glycyrrhiza glabra, Emblica officinalis, Sesamum indicum and cow milk as active ingredients) famous for its wound healing property. The patient gradually recovered and the wound was gradually healed with secondary intention.