Fournier’s gangrene G) is a rare necrotizing fasciitis affecting genital and perianal
 areas. This study aimed to review the micro biology of blood cultures and the mortality
 associated in patients with this rare condition at a tertiary referral center.

This study included a retrospective analysis of patients diagnosed

A total of 28 patients were included in the study. The average age of the patients was
56.2 years. Among these patients, 4 out of 28 (14.2%) died, reflecting a lower-than-expected
mortality rate compared to previously reported ranges in the literature. Positive blood cultures were observed in 4 patients (14.2%), while urine cultures were positive in 3 patients (10.7%).
The average time from initial assessment to surgical intervention (time to OR) was 4.5 hours,
highlighting the emphasis on rapid debridement in managing this condition.

The study included a total of 28 patients, with an average age of 56.2 years, indicating a middle-aged population affected by the condition under investigation. The mortality rate observed in this cohort was 14.2% (4 out of 28 patients), which is notably lower than what has been reported in previous studies. This may suggest improvements in early recognition, aggressive management, or surgical intervention strategies.

Positive blood cultures were identified in 14.2% of patients, while urine cultures were positive in 10.7%. These relatively low rates of positive cultures might reflect early antibiotic administration or the variable microbial profile associated with the condition.

Importantly, the average time to surgical intervention was 4.5 hours, emphasizing the priority placed on rapid debridement. This swift approach to operative management may have contributed significantly to the lower mortality rate, underlining the importance of timely surgical response in improving outcomes for these patients.

Although the quoted mortality rates are between 20 and 40% in most cases, and range from
4 to 88%. We have found very low mortality in our case series , it this is probably secondary to early aggressive debridement and broad-spectrum antibiotic coverage which help reduce
this mortality.
Also of note blood cultures are negative in a majority of the patients and it is imperative that patients are started on appropriate triple therapy to reduce the morbidity and mortality.