Abstract
Fournier's gangrene is acute necrotizing fasciitis of scrotum, penis, perineum and may be extended to abdominal wall and legs. It is a rapidly progressive, life threatening emergency. If not properly managed by timely surgical intervention, and active medical management, the outcome is very grave with high mortality. Active management of such a case in Ayurved is rarely reported. Case study: A 60 year old male developed Fournier's gangrene and was admitted and treated by surgery department of B.J. Medical College, Pune. Two surgical debridements were actively carried out but the wound failed to heal and there was a likelihood of the case going in to shock due to septicaemia. Such a case with Fournier's gangrene having Severity Index (FGSI) 9.2; was referred by surgery department to Ayurved department of Sassoon hospital, Pune (the teaching hospital of B.J.Medical College, Pune) and was successfully managed by active Ayurvedic line of treatment. This case study highlights that Modern science has limitations but when both Modern science and Ayurved treat a complicated case in an integrated manner, the outcome is always better.
Keywords: Fournier's gangrene, Necrotizing fasciitis, Ayurvedic management, Dushtavran, Kotha.
References
- Denis L Stevens. Chapter no.156 Infections of Skin. Muscles and Soft tissues: Necrotizing fascitis in Harrison's Principles of Internal Medicine, 19th edition ;Vol-2. Mc Graw Hill Education (2015) : 830-32
- Mathew D. Sorensen, John N. Krieger, Frederick P. Rivara, Joshua A. Broghammer, Matthew B. Klein, Christopher D. Mack, and Hunter Wessells. Fournier’s Gangrene: Population Based Epidemiology and Outcomes. J Urol. 2009 May; 181(5): 2120–2126.
- Vigneswara Srinivasan Sockkalingam, Elankumar Subburayan, Elango Velu, Sujith Tumkur Rajashekar, and Anusha Mruthyunjaya Swamy‑. Fournier’s gangrene: prospective study of 34 patients in South Indian population and treatment strategies. Pan African Medical Journal. 2018; 31: 110> https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6462357/. doi: 10.11604/pamj.2018.31.110.15495
- Fournier JA. Gangrene foudroyante de la verge (overwhelming gangrene) Sem Med. 1883;3:345. [PubMed] [Google Scholar]
- Rachel Nall. What causes Fournier gangrene? Medical News Today. https://www.medicalnewstoday.com/articles/320692
- Laor E, Palmer T S, Tolia B M.et al Outcome prediction in patients with Fournier's gangrene. J Urol 199515489–92. [PubMed] [Google Scholar] FG S Index
- A Thwaini, A.Khan et al. Fournier gangrene and its emergency management. Post grad Med J. Aug 2006; 82(970): 516–519.
- Editor Vaidya Yadavji Trikamji Acharya. Susruta Samhita. Chaukhamba Sankrit Santhan, Varanasi. 2015. Sutra sthan. Adhyay 25 verse 4:117
- Editor Vaidya Yadavji Trikamji Acharya. Susruta Samhita. Chaukhamba Sankrit Santhan, Varanasi. 2015. Sutra sthan. Adhyay 23 verse 6:111
- Editor Vaidya Yadavji Trikamji Acharya. Susruta Samhita. Chaukhamba Sankrit Santhan, Varanasi. 2015. Chikitsa sthan. Adhyay 1 verse 134:407
- Manoj Ranjan Meher, B.J. Gopikrishna, Avnish Pathak. Integrated approach for the management of Fournier's gangrene (Kotha) –A case study. Journal of Ayurveda and Integrative medicine 9(2) April 2018. www.researchgate.net › publication› 326514038_263_In
Corresponding Author
Dr Sarita Pradip Gaikwad
M.D. (Manovigyan and Manas rog), Ph.D. (Kayachikitsa)
Ex HoD, Ayurved Research Department, Sassoon General Hospitals, Pune
Vol. Retired Assistant Director, AYUSH, Pune region, Pune. (Maharashtra state, India);
Honorary Physician Punarvasu Chikitsalay, Model colony, Shivajinagar, Pune-411 005
Honorary Physician, Vyana Ayurveda, Near Maharashtra Bank, Aundh, Pune-411 007
Address for correspondence: Director, Punarnava Trimarma Chikitsalay and Research Center, Ganesh Nagar Road, Nanded-431 602 (India)
Email: This email address is being protected from spambots. You need JavaScript enabled to view it.; This email address is being protected from spambots. You need JavaScript enabled to view it.
Mob: 9822025105