{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,8]],"date-time":"2026-01-08T19:54:31Z","timestamp":1767902071716,"version":"3.49.0"},"reference-count":21,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["SAGE Open Medical Case Reports"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:p> Fournier\u2019s gangrene is a severe, life-threatening form of necrotizing fasciitis that predominantly affects the perineal, genital, and perianal areas. It is characterized by a rapid onset and progression, often developing from urogenital infections, diabetes, compromised immune function, or trauma. This report describes the case of a 64-year-old woman who presented with perianal pain and purulent discharge persisting for a week. Upon examination, a substantial necrotic wound was identified in her perineal region, necessitating urgent surgical debridement followed by aggressive postoperative management, including antibiotic therapy and meticulous blood sugar control. Despite initial signs of improvement, the patient\u2019s condition deteriorated due to complications from diabetes, acidosis, and pneumonia, ultimately leading to a fatal outcome. This case highlights the critical need for prompt recognition and comprehensive management of Fournier\u2019s gangrene, particularly in female patients exhibiting similar symptoms. <\/jats:p>","DOI":"10.1177\/2050313x241271829","type":"journal-article","created":{"date-parts":[[2024,8,16]],"date-time":"2024-08-16T07:40:20Z","timestamp":1723794020000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Comprehensive management and outcomes in female patients with Fournier\u2019s gangrene: A case report"],"prefix":"10.1177","volume":"12","author":[{"given":"Charlotte","family":"El Hajjar","sequence":"first","affiliation":[{"name":"Obstetrics and Gynecology Department, Rafik Hariri Hospital University Medical Center, Beirut, Lebanon"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jihad","family":"Al Hassan","sequence":"additional","affiliation":[{"name":"Obstetrics and Gynecology Department, Faculty of Science, Lebanese University, Beirut, Lebanon"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohamad","family":"Siblini","sequence":"additional","affiliation":[{"name":"Surgery Department, Rafik Hariri Hospital University Medical Center, Beirut, Lebanon"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nour","family":"Madi","sequence":"additional","affiliation":[{"name":"Obstetrics and Gynecology Department, Faculty of Science, Lebanese University, Beirut, Lebanon"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Saad","family":"Abou Hammin","sequence":"additional","affiliation":[{"name":"Department and Hemodialysis Center in Beirut, General Hospital, Beirut, Lebanon"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hamza","family":"Nakib","sequence":"additional","affiliation":[{"name":"The Lebanese American University, Beirut, Lebanon"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Georges","family":"Yared","sequence":"additional","affiliation":[{"name":"Obstetrics and Gynecology Department, Lebanese American University, Beirut, Lebanon"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3199-631X","authenticated-orcid":false,"given":"Kariman","family":"Ghazal","sequence":"additional","affiliation":[{"name":"Obstetrics and Gynecology Department, Faculty of Science, Lebanese University, Beirut, Lebanon"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2024,8,16]]},"reference":[{"key":"bibr1-2050313X241271829","doi-asserted-by":"publisher","DOI":"10.4081\/aiua.2016.3.237"},{"issue":"5","key":"bibr2-2050313X241271829","volume":"15","author":"Khalid A","year":"2023","journal-title":"Cureus"},{"issue":"1","key":"bibr3-2050313X241271829","volume":"12","author":"Guliyeva G","year":"2024","journal-title":"Plast Reconstr Surg Glob Open"},{"key":"bibr4-2050313X241271829","unstructured":"Leslie SW, Rad J, Foreman J. 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