AUSTRALIAN JOURNAL OF BIOMEDICAL RESEARCH
Case Report
May 04, 2026 3 3

Successful Surgical Management of Fournier’s Gangrene: A Case Report

Nurzhan Isabekov 1 2,
Karakoz Amantayeva 1 2,
Gulbarshyn Eskali 1 *
1 Department of Surgery with a course in Anesthesiology and Intensive Care, Kazakh-Russian Medical University, Almaty, Kazakhstan2 Department of Purulent Surgery, Central City Clinical Hospital (Municipal Enterprise on the Right of Economic Management), Almaty, Kazakhstan* Corresponding Author
Australian Journal of Biomedical Research, 2(2), 2026, aubm019, https://doi.org/10.63946/aubiomed/18513
Publication date: May 04, 2026
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ABSTRACT

Fournier’s gangrene (FG) is a rapidly progressive necrotizing soft tissue infection associated with high mortality, particularly in patients with diabetes mellitus. Early recognition and immediate surgical source control are critical determinants of survival.
We report the case of a 62-year-old male with long-standing type 2 diabetes mellitus who presented with rapidly progressive perineal necrosis complicated by systemic inflammatory response and severe metabolic derangement, including hyperlactatemia (7.3 mmol/L) and metabolic acidosis.
Emergency radical surgical debridement was performed within hours of admission, followed by intensive multidisciplinary management. Despite high predicted mortality risk based on clinical and laboratory parameters, the patient demonstrated favorable clinical recovery with wound healing by secondary intention.
This case highlights the potential limitation of traditional scoring systems and emphasizes the prognostic role of hyperlactatemia as an early indicator of tissue hypoperfusion requiring immediate surgical intervention.

KEYWORDS

Fournier’s Gangrene Type 2 Diabetes Mellitus Necrotizing Fasciitis Sepsis Hyperlactatemia Surgical Treatment

CITATION (Vancouver)

Isabekov N, Amantayeva K, Eskali G. Successful Surgical Management of Fournier’s Gangrene: A Case Report. Australian Journal of Biomedical Research. 2026;2(2):aubm019. https://doi.org/10.63946/aubiomed/18513
APA
Isabekov, N., Amantayeva, K., & Eskali, G. (2026). Successful Surgical Management of Fournier’s Gangrene: A Case Report. Australian Journal of Biomedical Research, 2(2), aubm019. https://doi.org/10.63946/aubiomed/18513
Harvard
Isabekov, N., Amantayeva, K., and Eskali, G. (2026). Successful Surgical Management of Fournier’s Gangrene: A Case Report. Australian Journal of Biomedical Research, 2(2), aubm019. https://doi.org/10.63946/aubiomed/18513
AMA
Isabekov N, Amantayeva K, Eskali G. Successful Surgical Management of Fournier’s Gangrene: A Case Report. Australian Journal of Biomedical Research. 2026;2(2), aubm019. https://doi.org/10.63946/aubiomed/18513
Chicago
Isabekov, Nurzhan, Karakoz Amantayeva, and Gulbarshyn Eskali. "Successful Surgical Management of Fournier’s Gangrene: A Case Report". Australian Journal of Biomedical Research 2026 2 no. 2 (2026): aubm019. https://doi.org/10.63946/aubiomed/18513
MLA
Isabekov, Nurzhan et al. "Successful Surgical Management of Fournier’s Gangrene: A Case Report". Australian Journal of Biomedical Research, vol. 2, no. 2, 2026, aubm019. https://doi.org/10.63946/aubiomed/18513

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