ICJEM
Intercontinental Journal of Emergency Medicine

The Intercontinental Journal of Emergency Medicine aims to publish issues related to all fields of emergency medicine and all specialties involved in the management of emergencies in the hospital and prehospital environment of the highest scientific and clinical value at an international level and accepts articles on these topics.

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Case Report
The first reported case of Fournier’s gangrene presenting with penoscrotal necrosis due to Acinetobacter baumannii in a patient with Buerger disease
Abstract
Buerger disease (thromboangiitis obliterans) is a non-atherosclerotic inflammatory occlusive vasculopathy that mainly affects the distal extremities of young and middle-aged male smokers. Genital involvement is extremely rare due to rich collateral circulation. Fournier’s gangrene is a rapidly progressive necrotizing infection of the perineal and genital region with high mortality. We report a 66-year-old man with long-standing Buerger disease and heavy smoking history who presented with sepsis, acute urinary retention, and progressive penoscrotal necrosis. Despite broad-spectrum antibiotics and multidisciplinary surgery, including extensive debridement, glansectomy with corporo-urethral reconstruction, and subsequent partial penectomy, the disease progressed. Tissue cultures revealed Acinetobacter baumannii and Escherichia coli. Recurrent necrosis required repeated debridements, but the patient died from septic shock and multiorgan failure. This case is the first reported coexistence of Buerger disease and Fournier’s gangrene leading to penoscrotal necrosis requiring partial penectomy with isolation of Acinetobacter baumannii.

Keywords : Thromboangiitis obliterans, Fournier gangrene, penile disease, necrotizing fasciitis, acinetobacter baumanii

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Article available in :
Volume 4, Issue 2, 2026
Page : 39-42
https://doi.org/10.51271/ICJEM-0076
Article Information
Received : 17 Oca 2026
Accepted : 11 Şub 2026
Published : 04 Haz 2026
Corresponding Author :

Çağrı Öktem: Department of Urology, Kulu State Hospital, Konya, Turkiye

[email protected]
Citation : Öktem Ç, Özgür BC, Öznal H, Yılmaz MB. The first reported case of Fournier’s gangrene presenting with penoscrotal necrosis due to Acinetobacter baumannii in a patient with Buerger disease. Intercont J Emerg Med. 2026;4(2):39-42. doi:10.51271/ICJEM-0076

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