{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T19:17:54Z","timestamp":1787771874759,"version":"build-2784847793"},"reference-count":16,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2008]]},"abstract":"\n Context:<\/jats:title>\n Fournier's gangrene (FG) is a rapidly progressing acute gangrenous infection of the anorectal and urogenital area.<\/jats:p>\n <\/jats:sec>\n \n Aims:<\/jats:title>\n The objectives of this study were to investigate patients with FG and to determine risk factors that affect mortality.<\/jats:p>\n <\/jats:sec>\n \n Settings and Design:<\/jats:title>\n Retrospective clinical study.<\/jats:p>\n <\/jats:sec>\n \n Materials and Methods:<\/jats:title>\n Clinical presentations and outcomes of surgical treatments were evaluated in 68 patients with FG.<\/jats:p>\n <\/jats:sec>\n \n Statistical Analysis Used:<\/jats:title>\n \n Chi-square, Student's\n t<\/jats:italic>\n -test, and logistic regression test.\n <\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n \n Mean age of patients was 54 and female-to-male ratio was 9:59. Among the predisposing factors, diabetes mellitus (DM) was the most common (\n n<\/jats:italic>\n =24, 35.3%), and sepsis on admission was detected in 31 (45.6%) and 15 (22.1%) patients, respectively. Seven (10.3%) patients died. Using logistic regression test, Fournier's Gangrene Severity Index (FGSI) <9, DM and sepsis on admission were found as prognostic factors. Conclusions: FG has a high mortality rate, especially in patients with DM and sepsis. An FGSI value <9 indicates high mortality rate.\n <\/jats:p>\n <\/jats:sec>","DOI":"10.4103\/0022-3859.40775","type":"journal-article","created":{"date-parts":[[2009,2,9]],"date-time":"2009-02-09T03:08:58Z","timestamp":1234148938000},"page":"102-105","source":"Crossref","is-referenced-by-count":56,"title":["Fournier\u2032s 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Review of 45 Cases","volume":"37","author":"Basoglu","year":"2007","journal-title":"Surg Today"},{"key":"R6-11-20240205","doi-asserted-by":"crossref","first-page":"524","DOI":"10.1111\/j.1464-410X.1990.tb14801.x","article-title":"Necrotising soft tissue infections of the perineum and genitalia: Bacteriology, treatment and risk assessment","volume":"65","author":"Baskin","year":"1990","journal-title":"Br J Urol"},{"key":"R7-11-20240205","first-page":"49","article-title":"Causes, presentation and survival of fifty-seven patients with necrotising fasciitis of male genitalia","volume":"170","author":"Clayton","year":"1990","journal-title":"Surg Gynecol Obstet"},{"key":"R8-11-20240205","doi-asserted-by":"crossref","first-page":"1156","DOI":"10.1177\/000313489906501213","article-title":"The continuing challenge of Fournier's gangrene in the 1990s","volume":"65","author":"Olsofka","year":"1999","journal-title":"Am Surg"},{"key":"R9-11-20240205","first-page":"77","article-title":"Fournier's 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Edinb"},{"key":"R13-11-20240205","doi-asserted-by":"crossref","first-page":"89","DOI":"10.1016\/S0022-5347(01)67236-7","article-title":"Outcome prediction in patients with Fournier's gangrene","volume":"154","author":"Laor","year":"1995","journal-title":"J Urol"},{"key":"R14-11-20240205","first-page":"1038","article-title":"Fournier gangrene: Approaches to diagnosis and treatment","volume":"27","author":"Unal","year":"2006","journal-title":"Saudi Med J"},{"key":"R15-11-20240205","doi-asserted-by":"crossref","first-page":"208","DOI":"10.1111\/j.1464-410X.1995.tb07676.x","article-title":"The limited impact of involved surface area and surgical debridement on survival in Fournier's gangrene","volume":"76","author":"Palmer","year":"1995","journal-title":"Br J Urol"},{"key":"R16-11-20240205","doi-asserted-by":"crossref","first-page":"119","DOI":"10.1159\/000087164","article-title":"Is Fournier's gangrene severity index useful for predicting outcome of Fournier's gangrene?","volume":"75","author":"Lin","year":"2005","journal-title":"Urol Int"}],"container-title":["Journal of Postgraduate Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/00005257-200854020-00011","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T18:18:36Z","timestamp":1787768316000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/00005257-200854020-00011"}},"subtitle":["Evaluation of 68 patients and analysis of prognostic variables"],"short-title":[],"issued":{"date-parts":[[2008]]},"references-count":16,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2008]]}},"URL":"https:\/\/doi.org\/10.4103\/0022-3859.40775","relation":{},"ISSN":["0022-3859"],"issn-type":[{"value":"0022-3859","type":"print"}],"subject":[],"published":{"date-parts":[[2008]]}}}