{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,26]],"date-time":"2026-03-26T12:49:13Z","timestamp":1774529353494,"version":"3.50.1"},"reference-count":18,"publisher":"Hindawi Limited","license":[{"start":{"date-parts":[[2013,8,12]],"date-time":"2013-08-12T00:00:00Z","timestamp":1376265600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/3.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["ISRN Urology"],"published-print":{"date-parts":[[2013,8,12]]},"abstract":"<jats:p><jats:italic>Background<\/jats:italic>. Fournier\u2019s gangrene is uncommon but increasingly being seen over the last two decades probably due to increasing socioeconomic problems including an upsurge in HIV infection especially in the tropics. <jats:italic>Patients and Methods<\/jats:italic>. The study retrospectively reviewed all patients with Fournier\u2019s gangrene managed in UMTH between January 2007 and December 2012. <jats:italic>Results<\/jats:italic>. Thirty-eight males aged 2 weeks to 80 years (mean 37.82) were reviewed, with most aged 30\u201339 years (13 (34.21%)). Clinical features were scrotal pain and swelling, 36 (94.74%), fever, 19 (50.00%), and discharging scrotal wound, 19 (50.00%). The predisposing conditions were UTI secondary to obstructive uropathy in 11 (28.95%), perianal suppuration, and HIV, in 8 (21.05%) patients each. Wound biopsy culture revealed mixed organisms in 27 (71.05%). Twenty-six (68.42%) had blood transfusions. Thirty-seven (97.37%) patients had wound debridement. Twenty (52.63%) had flap rotation for skin cover. There were 6 (15.79%) mortalities, of which 4 (10.53%) were HIV positive, 1 (2.63%) was diabetic, and 1 (2.63%) was both diabetic and HIV positive. <jats:italic>Conclusion<\/jats:italic>. Fournier\u2019s gangrene is a fulminant synergistic necrotising fasciitis of the perineum and genitalia with poor prognosis especially when associated with HIV and diabetes, requiringprompt and aggressive management for good outcome.<\/jats:p>","DOI":"10.1155\/2013\/673121","type":"journal-article","created":{"date-parts":[[2013,8,12]],"date-time":"2013-08-12T21:03:37Z","timestamp":1376341417000},"page":"1-3","source":"Crossref","is-referenced-by-count":7,"title":["Fournier's Gangrene as Seen in University of Maiduguri Teaching Hospital"],"prefix":"10.1155","volume":"2013","author":[{"given":"S.","family":"Aliyu","sequence":"first","affiliation":[{"name":"Department of Surgery, University of Maiduguri Teaching Hospital and College of Medical Sciences University of Maiduguri, PMB 1414, Maiduguri, Nigeria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A. 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