{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T17:37:16Z","timestamp":1777657036455,"version":"3.51.4"},"reference-count":12,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2022,1,1]],"date-time":"2022-01-01T00:00:00Z","timestamp":1640995200000},"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":["Global Pediatric Health"],"published-print":{"date-parts":[[2022,1]]},"abstract":"<jats:p>Fournier\u2019s gangrene is a rapidly progressive necrotizing fasciitis of the perineum and external genital organs that is uncommon in the pediatric age group. We present a case report of a 17-year-old obese male with comorbidities of type II diabetes, hypertension, and tobacco use, who presented to the hospital with vague systemic symptoms and pain in the gluteal area. On examination, he was febrile and had erythema and induration of his left scrotum, perineum, and gluteal region. Imaging obtained due to rapid progression of symptoms was consistent with a diagnosis of Fournier\u2019s gangrene. He was managed with broad-spectrum antibiotics, aggressive surgical debridement, and a diverting colostomy. This case brings to light to a classically adult diagnosis that should be considered in adolescents, especially given the rising numbers of risk factors in this population, such as diabetes, obesity, and smoking.<\/jats:p>","DOI":"10.1177\/2333794x221128416","type":"journal-article","created":{"date-parts":[[2022,10,27]],"date-time":"2022-10-27T05:03:07Z","timestamp":1666846987000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Fournier\u2019s Gangrene: A Rare Infectious Entity in an Adolescent with Type II Diabetes"],"prefix":"10.1177","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7841-5164","authenticated-orcid":false,"given":"Sara C.","family":"Sanders","sequence":"first","affiliation":[{"name":"University of Arkansas for Medical Sciences, Little Rock, AR, USA"},{"name":"Arkansas Children\u2019s Hospital, Little Rock, AR, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5229-2808","authenticated-orcid":false,"given":"Archana","family":"Balamohan","sequence":"additional","affiliation":[{"name":"University of Arkansas for Medical Sciences, Little Rock, AR, USA"},{"name":"Arkansas Children\u2019s Hospital, Little Rock, AR, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emily S.","family":"Smith","sequence":"additional","affiliation":[{"name":"University of Arkansas for Medical Sciences, Little Rock, AR, USA"},{"name":"Arkansas Children\u2019s Hospital, Little Rock, AR, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maxwell D.","family":"Taylor","sequence":"additional","affiliation":[{"name":"University of Arkansas for Medical Sciences, Little Rock, AR, USA"},{"name":"Arkansas Children\u2019s Hospital, Little Rock, AR, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6692-4383","authenticated-orcid":false,"given":"Rebecca M.","family":"Cantu","sequence":"additional","affiliation":[{"name":"University of Arkansas for Medical Sciences, Little Rock, AR, USA"},{"name":"Arkansas Children\u2019s Hospital, Little Rock, AR, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2022,10,27]]},"reference":[{"key":"bibr1-2333794X221128416","doi-asserted-by":"publisher","DOI":"10.1016\/j.surge.2013.02.001"},{"key":"bibr2-2333794X221128416","doi-asserted-by":"publisher","DOI":"10.5489\/cuaj.2445"},{"key":"bibr3-2333794X221128416","doi-asserted-by":"publisher","DOI":"10.1111\/j.1445-2197.2006.03975.x"},{"key":"bibr4-2333794X221128416","doi-asserted-by":"publisher","DOI":"10.1159\/000445695"},{"key":"bibr5-2333794X221128416","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2017.10.031"},{"key":"bibr6-2333794X221128416","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2008.09.014"},{"issue":"5","key":"bibr7-2333794X221128416","first-page":"660","volume":"24","author":"Rouzrokh M","year":"2014","journal-title":"Iran J Pediatr"},{"key":"bibr8-2333794X221128416","doi-asserted-by":"publisher","DOI":"10.1136\/pgmj.2005.042069"},{"issue":"5","key":"bibr9-2333794X221128416","first-page":"405","volume":"62","author":"Faria SN","year":"2016","journal-title":"Can Fam Physician"},{"key":"bibr10-2333794X221128416","doi-asserted-by":"publisher","DOI":"10.1097\/JSM.0000000000000125"},{"key":"bibr11-2333794X221128416","doi-asserted-by":"publisher","DOI":"10.4065\/75.6.647"},{"key":"bibr12-2333794X221128416","first-page":"1312","volume-title":"Feigin and Cherry\u2019s Textbook of Pediatric Infectious Diseases","volume":"2019","author":"Whitworth S","edition":"8"}],"container-title":["Global Pediatric Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/2333794X221128416","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/2333794X221128416","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/2333794X221128416","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T07:07:58Z","timestamp":1777446478000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/2333794X221128416"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,1]]},"references-count":12,"alternative-id":["10.1177\/2333794X221128416"],"URL":"https:\/\/doi.org\/10.1177\/2333794x221128416","relation":{},"ISSN":["2333-794X","2333-794X"],"issn-type":[{"value":"2333-794X","type":"print"},{"value":"2333-794X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,1]]},"article-number":"2333794X221128416"}}