Neonatal Fournier’s gangrene; sequelly of Traditional birth practice: Case report and Short Review

Fournier’s gangrene is one of the infectious and gangrenous diseases seen worldwide ,It is commonly reported in Adult males but also in females. Injuries are nidus to its pathogenesis and manymicrobes have been cultured from this clinical entity .This reported case was an incidental presentation resulting from obstetric care given by an unskilled personnel to a high risk pregnancy at term in prolonged labor. The case therefore avails clinician and pediatricians with the opportunity of seeing a rare adult tropical disease of the scrotum in a neonate. A fourteen day old term male baby presented with multiple perineal lacerations from delivery by a traditional birth attendant to the Surgery Unit. Perineum with scrotum and penis inclusive were noticed to be gangrenous .He was manage by debriment of necrotic tissue ,wound dressings , antiseptic solutions (gentian violent ,diluted H2O2)as well as intravenous antibiotics (ceftriaxone,ciprofloxacin, metronidazole,cloxacillin) ,syrup paracetamol and syrup camoquine ,however during the course of management ,parent had financial constraints . Fournier’s gangrene are rare phenomenon in neonates ,and could be a complication that may arise from poor resource countries or communities where traditional birth attendants and their practices strives.