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Type: Journal article
Title: Fournier Gangrene and unexpected death
Author: Bury, D.
Byard, R.
Citation: Journal of Forensic Sciences, 2012; 57(6):1641-1642
Publisher: Amer Soc Testing Materials
Issue Date: 2012
ISSN: 0022-1198
Statement of
Danielle Bury and Roger W. Byard
Abstract: Fournier gangrene represents a rare but progressive perineal infection that may result in rapid death. A 70-year-old man with poorly controlled diabetes mellitus and alcohol abuse is reported who was found unexpectedly dead. He had last been contacted the night before his death. At autopsy, the most striking finding was deep necrotic ulceration of the scrotum with exposure of underlying deep muscles and testicles, with blood cultures positive for Escherichia coli. Death was, therefore, attributed to necrotic ulceration⁄gangrene of the perineum (Fournier gangrene) that was due to E. coli sepsis with underlying contributing factors of diabetes mellitus and alcoholism. In addition there was morbid obesity (body mass index 46.9), cirrhosis of the liver, and marked focal coronary artery atherosclerosis with significant cardiomegaly. Fournier gangrene may be an extremely aggressive condition that can result in rapid death, as was demonstrated by the rapid progression in the reported case.
Keywords: Forensic science; Fournier gangrene; E. coli sepsis; diabetes mellitus; alcoholism; immunosuppression; fulminant infection
Rights: © 2012 American Academy of Forensic Sciences
RMID: 0020122830
DOI: 10.1111/j.1556-4029.2012.02139.x
Appears in Collections:Pathology publications

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