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[Skin gangrene].

OBJECT: The cutaneous gangrenes, in particular those of Fournier are described like evolving/moving often in a way striking down. We report, over a study period of 10 months, the clinical and therapeutic characteristics of the lesions observed thus that their evolution in a context of developing country.

PATIENTS AND METHOD: it is about an exploratory study running 2005 in the service of surgery "A" of the hospital of the Point G and of urology. We listed a patient presenting a cutaneous gangrene post Caesarean like 5 cases of gangrene of the external genitals or gangrene of Fournier. The six clinical observations constituted the sample of study. The socio demographic data, the duration of evolution before the reference to the hospital of the Point G, the mechanim, the type and the seat of the lesions, the germs in question, the type of treatment were studied.

RESULTS: the traumatic mechanism was raised here. The treatment of the lesions was medical and surgical in one or two times. The cicatrization of the lesions was obtained at 6 weeks on average. Localization at the scrotum and penises due to streptococcus were observed. Observations 3 and 4 had jointly a urethral traumatism by survey, a fumigation of the purses on immunodepressive ground ignored until there. The cutaneous plastic in a case and the preserving medical treatment for the other allowed the cicatrization of the lesions.

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