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An overview of Fournier's gangrene, including causes, signs and symptoms, investigations and management (including surgical management) Fournier gangrene is a rare and life-threatening infection of the genitals or perineum. It can affect anyone, but is more common in older men, diabetics, and immunocompromised people. Learn about its causes, symptoms, diagnosis, treatment, and prognosis. Prognostic factors Fournier gangrene severity index (FGSI) scores > 9 predicts severity and mortality (J Urol 1995;154:89, J Postgrad Med 2008;54:102) FGSI: nine variables are assigned scores of 0 - 4, which are added together Fournier gangrene was first identified in 1883, when the French venereologist Jean Alfred Fournier described a series in which 5 previously healthy young men suffered from a rapidly progressive gangrene of the penis and scrotum without apparent cause. This condition, which came to be known as Fournier gangrene, is defined as a polymicrobial n...
