A patient with Type 2 Diabetes Mellitus (T2DM) with Fournier gangrene: A case report

Mike Christanti, Jongky Hendro Prajitno, Rio Yudistira Christanto

Research output: Contribution to journalArticlepeer-review


Background: Fournier gangrene is necrotizing fasciitis of the genitalia and perineum that can extend to the abdominal wall, gluteus or lower extremities. Predisposing factors for Fournier gangrene include obesity, diabetes mellitus (DM), alcoholism, smoking, hypertension, chronic kidney disease, perianal trauma and immunosuppressive conditions. This case report aims to evaluate the management of Fournier gangrene on metabolic and surgical treatment. Case Presentation: A-53 years old-female with Type 2 Diabetes Mellitus (T2DM) came to the Emergency Ward of Dr. Sutomo General Hospital, Surabaya, with the chief complaint of sores on the buttocks for 1 week. The patient was diagnosed with Fournier gangrene. On physical examination in the room, erythematous macular lesions were found in the folds of the breast and armpit on chest examination. Obtained scratch marks were found because the patient is often scratched. The wound from the buttock and keep enlarged due to the Fournier gangrene (necrotizing infection). In this case, the patient was given the antibiotics ceftriaxone and metronidazole. The patient died during the 8th day of treatment due to a suspected septic shock. Conclusion: Surgical management in this patient is debridement. Multi-disciplinary management of obstetrics, urology, digestive surgery, and plastic surgery is required for the management of Fournier gangrene in T2DM patients.

Original languageEnglish
Pages (from-to)61-66
Number of pages6
JournalBali Medical Journal
Issue number1
Publication statusPublished - 2022


  • Fournier Gangrene
  • Type 2 Diabetes Mellitus


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