NECROTIZING ANORECTAL AND PERINEAL INFECTIONS

  • 1 January 1979
    • journal article
    • research article
    • Vol. 86  (4) , 655-662
Abstract
Cases (16) of spontaneous necrotizing infection of the anorectum and perineum are described. Thirteen patients had clostridial infections and 3 had infections with nonclostridial bacteria. Six patients were diabetic and 2 had leukemia. All 16 patients presented with pain, tenderness, swelling and crepitation. Four had an ominous black spot on the scrotum or posterior labia. Shortly after initial recognition by the patient, all infections rapidly disseminated to include all surrounding areas such as the external genitalia, the anterior abdominal wall and thighs. Treatment consisted of radical debridement and antibiotics; hyperbaric O2 was used in the clostridial cases. Ten of the 16 patients survived. Delayed diagnosis and delayed treatment were the primary factors responsible for death.

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