FOURNIERS-GANGRENE AS FIRST PRESENTATION OF PROMYELOCYTIC LEUKEMIA

A 50-year-old male is described who presented with Fournier's gangrene as what is probably the first manifestation of a newly diagnosed acut e myelogenous leukemia (AML), promyelocytic type or variant type M-3, according to the FAB classification. Despite aggressive fluid resuscit ation, tuned infusion of vasoactive drugs, appropriate antibiotics and extensive surgical debridement, the patient died within 24 h as a res ult of irreversible septic shock. (C) 1998 Elsevier Science Ltd. All r ights reserved.