TY - CHAP M1 - Book, Section TI - Fournier Gangrene A1 - Moore, Sarah A1 - Pedigo, Ryan A2 - Knoop, Kevin J. A2 - Stack, Lawrence B. A2 - Storrow, Alan B. A2 - Thurman, R. Jason PY - 2021 T2 - The Atlas of Emergency Medicine, 5e AB - Fournier gangrene, a form of necrotizing fasciitis, most frequently occurs in a middle-aged diabetic man who presents with swelling, erythema, and severe pain of the entire scrotum, but it is also known to occur in women. In men, the scrotal contents often cannot be palpated because of the marked inflammation. The patient has constitutional symptoms with fever and frequently is in shock. There is often a history of recent urethral instrumentation, an indwelling Foley catheter, or perirectal disease. A localized area of fluctuance usually cannot be appreciated. SN - PB - McGraw-Hill CY - New York, NY Y2 - 2021/03/05 UR - accessemergencymedicine.mhmedical.com/content.aspx?aid=1176323290 ER -