We read the publication on “Risk factors for mortality in Fournier’s gangrene in a general hospital: use of simplified Fournier’s gangrene severe index score (SFGSI)” with great interest (1). Tenório et al. concluded that “The main advantage is easy applicability because it contains only three parameters and can be used immediately after patient’s admission” (1). Indeed, as noted by Yeniyol et ...

Symmetrical peripheral gangrene (SPG) is a rare clinical entity, infective, and noninfective both types of etiologies are responsible. The basic underlying pathology in SPG is being disseminated intravascular coagulation and carries a high mortality. Here, we describe a 52-year-old male with dengue fever, who developed bilateral symmetrical dry gangrene of both hand and feet. His dengue IgM ant...

Gangrene of the extremities of venous origin is reviewed; it is a rare but distinct clinicopathologic entity hitherto not widely known. A classification of the cases of thrombophlebitis complicated with gangrene is presented, based on the presence of the peripheral pulses: (1) cases with palpable arteries; (2) cases with nonpalpable but patent arteries. Patency of the entire arterial system of ...

Fournier's Gangrene is a rapidly progressive necrotizing fasciitis of the groin, perianal and perineal region that is often polymicrobial in nature, often averaging 3 species of bacteria per patient. The typical infection can be due to a host of microbes, including gram positive, gram negative and anaerobic species including. Many of the causative organisms are found in the normal microbial flo...

GANGRENE and eyanosis of an extremity, due to thrombophlebitis with massive venous occlusions, is an uncommon condition and is often confused with primary arterial oeclusive disease. With massive venous occlusion and the associated arterial venospasm the blood flow may be so impeded to an extremity that cyanosis and eventually gangrene may occur. The recognition of this is important, since this...

Following a strict, extensive, and judicious review, it has become clear that the paper by Nakasone et al deviates from the ethical standard of authorship. Therefore, the Editor-in-Chief, Hiroyuki Nishiyama, has agreed to fully retract this paper from publication and from the published record.

In 1933, Meleney clearly distinguished 'streptococcal' gangrene from postoperative synergistic gangrene in a classical description. In modern surgical practice (Ledingham and Tehrani, 1975), necrotizing fasciitis is considered a more applicable term for 'streptococcal' gangrene in both descriptive and aetiological terms. There are a number of reports indicating that postoperative synergistic ga...

Venous gangrene (VG) is defined as a clinical triad of skin necrosis and discolouration, documented evidence of venous thromboembolism (VTE) and presence of palpable or doppler-identifiable arterial pulsation. Venous gangrene is rare condition which is associated with poor prognosis in cancer patients. The pathogenesis of VG is multifactorial and could paradoxically be due to warfarin treatment...