Fournier's gangrene with toxic shock-like syndrome: A case report

A 38-year-old male who had swelling of the penis and scrotum and was in the state of septic shock was transferred to our hospital. The data from blood chemistry showed liver and renal dysfunction. The swollen soft tissue rapidly became gangrenous and necrotic within 12 hours. Under the diagnosis of Fournier's gangrene, we carried out incision of the scrotal and lower abdominal skin, intensive debridement and antibiotic chemotherapy. Streptococcus pyogenes was isolated from the surgical wound and his symptoms matched those of toxic shock like syndrome after treatment, he quickly recovered and his wound healed. We report and discuss a rare case of Fournier's gangrene associated with toxic shock-like syndrome.