Scrotal Gangrene Secondary to Staphylococcus Aureus Infection: A Case Report

Abstract

AIM: To present a case of scrotal gangrene secondary to Staphylococcus aureus infection, highlighting the importance of early intervention and  multidisciplinary care in the management of Fournier's gangrene.       

CASE PRESENTATION: This case report details the clinical course of a 67-year-old  male who presented with severe perineal pain and swelling, later diagnosed as  Fournier's gangrene due to Staphylococcus aureus infection. The patient  underwent emergency surgical debridement and received antibiotic therapy.  Postoperative care included wound cleaning, pain management, and continuous  monitoring of clinical and laboratory parameters.       

RESULTS: The patient showed significant improvement post-surgery, with a marked  decrease in white blood cell (WBC) count and C-reactive protein levels, as well  as normalization of body temperature. A successful second-stage wound debridement  and closure were performed, and the patient experienced no major complications  during recovery. The patient reported minimal pain postoperatively and improved  daily functioning, contributing to an enhanced quality of life.       

CONCLUSIONS: This case underscores the critical importance of early aggressive  treatment and comprehensive multidisciplinary care in managing Fournier's  gangrene. Prompt surgical intervention combined with effective postoperative  management can lead to positive outcomes, with significant improvement in  clinical and laboratory parameters, enhanced patient comfort, and improved  quality of life. Further research is needed to optimize treatment protocols and  improve outcomes in similar cases.