Prognosis

The reported mortality of Fournier's gangrene ranges from 0% to 70%, with an average of 20%-30%. The factors associated with an adverse outcome are physical disability, extent of the infection, delayed treatment, poor immune status, diabetes mellitus, old age, and multiorgan failure (Akgun and Yilmaz 2005). Laboratory values associated with an increased mortality are leukocytosis, elevated urea, creatinine, alkaline phos-phatase (ALP) and lactate dehydrogenase (LD), and a decrease in the hemoglobin, albumin, bicarbonate, sodium, and potassium (Laor et al. 1995).

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