J. Caird et al., Necrotising fasciitis in a HIV positive male: An unusual indication for abdomino-perineal resection, IRISH J MED, 168(4), 1999, pp. 251-253
We report a case of necrotising fasciitis of the genitoperineum (Fournier's
gangrene) in a HIV positive male following incision and drainage of bilate
ral ischiorectal fossa abscesses, During surgery to debride the necrotic ti
ssue the rectum was found to be perforated necessitating laparotomy and sub
sequent abdomino-perineal resection, Although previous reports of Fournier'
s gangrene in the HIV positive population exist, rectal involvement requiri
ng excision has not previously been reported.