Fournier's gangrene represents an acute severe necrotizing inflammatory pro
cess affecting the scrotum and penis. We report the case of a patient with
Fournier's gangrene as the presenting sign of HIV infection. The process be
gan with balanitis and rapidly destroyed the penis. Aggressive medical and
surgical management proved successful. (C) 1998 Elsevier Science B.V. All r
ights reserved.