Isolated penile Fournier’s: a caveat

Theakarajan Rajendran, Rajapriyan Paneerselvam, Shikhar Verma, Balasubramanian Gopal


Isolated penile Fournier’s gangrene is a rare condition causing significant morbidity to the patients. It occurs due to urinary tract infection or trauma. We describe an elderly male who presented with blackish discoloration of the skin of the penis with fever. Examination revealed a necrotic patch over the shaft of the penis without any other foci of infection around the perineum. Penis was debrided, and the antibiogram showed Escherichia coli sensitive to amikacin. He received seven days of antibiotics, and the wound granulated well. A split skin graft was used to cover the wound to prevent contraction. This unusual presentation requires expeditious management to prevent mortality and morbidity.


Fournier’s gangrene, Diabetes mellitus, Penile necrotizing fasciitis

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Mallikarjuna MN, Vijayakumar A, Patil VS, Shivswamy BS. Fournier’s Gangrene: Current Practices. ISRN Surg. 2012;2012:942437.

Moussa M, Abou Chakra M. Isolated Penile Fournier’s gangrene: A case report and literature review. International Journal of Surgery Case Reports. 2019;62:65–8.

Eke N. Fournier’s gangrene: a review of 1726 cases. Br J Surg. 2000;87(6):718–28.

Yücel M, Özpek A, Başak F, Kılıç A, Ünal E, Yüksekdağ S, et al. Fournier’s gangrene: A retrospective analysis of 25 patients. Ulus Travma Acil Cerrahi Derg. 2017;23(5):400–4.

Levenson RB, Singh AK, Novelline RA. Fournier Gangrene: Role of Imaging. RadioGraphics. 2008;28(2):519–28.