Delay in the diagnosis and management of Fournier’s gangrene, contribution of potassium permanganate (kmno4) about three cases in a tropical environment: experience of the army health service Conakry military hospital (hmc)

Fournier's gangrene is a rapidly progressive necrotizing fasciitis of the perineum and external genitalia. It is a pathology caused by aerobic and anaerobic bacteria, and sometimes it can be associated with an infection caused by fungi. The source of infection is either cutaneous, urogenital or colorectal. Hydroelectrolyte rebalancing, broad-spectrum antibiotic therapy followed quickly by surgical debridement is the basis of treatment. Mortality still often remains high, due to delays in diagnosis and treatment. The infection can be associated with superinfection and progress to necrosis and purulence of the perineal tissues. The diagnosis is clinical but a superficial ultrasound can be useful to demonstrate thickening of the subcutaneous tissue with normal testes. When the septic syndrome is controlled, the loss of substance associated with debridement becomes one of the major issues in management. The objective of this study is to demonstrate the contribution of the potassium permanganate solution in the surgical management of Fournier gangrene in a tropical environment. Three clinical cases, all young adults, were studied, including the source of the infection. was ; two cutaneous cases and one urogenital case associated with two types of comorbidities, HIV for the urogenital case and Hepatitis B for a cutaneous case.
T. M. FOINKE1.2, A. Sylla ALhassane2.3, G. SOROMOU2.3, H. Touré1.2, A.S. Kaba1.2, N. Gbilimou1.2, Condé. ALY1.2, M. Diallo2
1. MILITARY HOSPITAL CONAKRY R. GUINEA.
2. FACULTY OF MEDICINE: GAMAL ABDEL NASSER UNIVERSITY CONAKRY R. GUINEA
3. HOSPITAL NATIONAL DONKA CONAKRY R. GUINEA
Corresponding author: Doctor Colonel Thierno Mamadou FOINKE, Head of the General Surgery Department of the Military Hospital of Conakry