PMC5048047_01
Fournier's gangrene caused by Acinetobacter baumannii. Anterior aspect of the patient's pelvic wound before the surgical debridement (a), posterior aspect of the patient's pelvic wound before the surgical debridement (b), the patient's foot wound before the surgical debridement (c), and the patient's wound after the surgical debridement (d).
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It was noticed that although the great majority of gangrene was dry, very small part of wound was wet gangrene especially the edges during examination of the wound (Figures 1(a)-1(b)). He also had partial gangrene in both toes (Figure 1(c)). On the 5th day of treatment, he underwent debridement of extensive necrotic tissue at the edge of sufficient blood supply to the wound (Figure 1(d)).
Wound dressing, vacuum-assisted wound closure (a), the patient's wound after forty-five days of the surgical debridement (b), and partial-thickness skin grafts taken from the front of the thigh and also anterolateral thigh flap with a proximal pedicle (c, d).
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Negative pressure wound therapy was applied to the surface of the debrided area and intermittently continued for 45 days (Figure 2(a)). The wound was convenient to dressing with flapping in the forty-five days after the surgical debridement (Figure 2(b)). Defect was closed with partial-thickness skin grafts taken from the front of the thigh and also anterolateral thigh flap with a proximal pedicle 50 days after the first application (Figures 2(c)-2(d)).