Question:
Which statement is true among all regarding the condition shown?
A. Associated with mixed aerobic and anaerobic infection
B. Orchidectomy should be done
C. Anti-gas gangrene serum should always be used
D. Urinary diversion done
Which statement is true among all regarding the condition shown?
A. Associated with mixed aerobic and anaerobic infection
B. Orchidectomy should be done
C. Anti-gas gangrene serum should always be used
D. Urinary diversion done
A. Associated with mixed aerobic and anaerobic infection
B. Orchidectomy should be done
C. Anti-gas gangrene serum should always be used
D. Urinary diversion done
Show Hint
Think about the microbiology of synergistic necrotizing fasciitis of the perineum.
Updated On: Jun 23, 2026
- Associated with mixed aerobic and anaerobic infection
- Orchidectomy should be done
- Anti-gas gangrene serum should always be used
- Urinary diversion done
Show Solution
Verified By Collegedunia
The Correct Option is A
Solution and Explanation
Step 1: Identify the condition.
The question refers to Fournier's gangrene -- necrotizing fasciitis of the perineal region. It is a life-threatening surgical emergency characterized by rapidly progressive synergistic infection of the perineum and genitalia.
Step 2: Analyse each option.
Option A (Correct): Fournier's gangrene is a synergistic infection involving mixed aerobic organisms (e.g., Escherichia coli, Klebsiella) and anaerobic organisms (e.g., Bacteroides, Clostridium). The synergism between aerobes and anaerobes produces toxins and enzymes that accelerate tissue destruction.
Option B (Incorrect): The testes are not involved in Fournier's gangrene because they have a dual blood supply (testicular artery from the aorta and cremasteric artery). Since the infection spreads along fascial planes that do not include the spermatic cord blood supply, orchidectomy is not routinely required.
Option C (Incorrect): Anti-gas gangrene serum is not a standard or routine treatment for Fournier's gangrene. Treatment relies on aggressive surgical debridement, broad-spectrum antibiotics covering both aerobes and anaerobes, and supportive care.
Option D (Incorrect): Urinary diversion (e.g., suprapubic cystostomy) may occasionally be needed if there is direct urethral or bladder involvement, but it is not a universal feature or true statement about Fournier's gangrene.
Conclusion: The defining microbiological feature of Fournier's gangrene is the mixed aerobic-anaerobic (synergistic) infection.
The question refers to Fournier's gangrene -- necrotizing fasciitis of the perineal region. It is a life-threatening surgical emergency characterized by rapidly progressive synergistic infection of the perineum and genitalia.
Step 2: Analyse each option.
Option A (Correct): Fournier's gangrene is a synergistic infection involving mixed aerobic organisms (e.g., Escherichia coli, Klebsiella) and anaerobic organisms (e.g., Bacteroides, Clostridium). The synergism between aerobes and anaerobes produces toxins and enzymes that accelerate tissue destruction.
Option B (Incorrect): The testes are not involved in Fournier's gangrene because they have a dual blood supply (testicular artery from the aorta and cremasteric artery). Since the infection spreads along fascial planes that do not include the spermatic cord blood supply, orchidectomy is not routinely required.
Option C (Incorrect): Anti-gas gangrene serum is not a standard or routine treatment for Fournier's gangrene. Treatment relies on aggressive surgical debridement, broad-spectrum antibiotics covering both aerobes and anaerobes, and supportive care.
Option D (Incorrect): Urinary diversion (e.g., suprapubic cystostomy) may occasionally be needed if there is direct urethral or bladder involvement, but it is not a universal feature or true statement about Fournier's gangrene.
Conclusion: The defining microbiological feature of Fournier's gangrene is the mixed aerobic-anaerobic (synergistic) infection.
Was this answer helpful?
0
0
Top NEET PG Surgery Questions
- A 55-year-old male presented with verrucous carcinoma around the glans of the penis. Examination reveals that the inguinal lymph nodes are not enlarged. What is the appropriate management for this patient?
- Identify the procedure being performed in the image given below.
- A diabetic patient presents with sudden-onset perineal pain. On examination, foul-smelling discharge, and necrotic tissue as seen in the image is noted. Which of the following is true about the given condition?
- Which of the following is the most common complication following ligation of the first vessel during abdominoperineal resection for rectal carcinoma?(APR Abdominoperineal resection)
- A patient presents to the clinic with the lesion given in the image. He had a traumatic injury to the chest one year ago. What is the most likely diagnosis?
View More Questions
Top NEET PG Questions
- A patient hailing from Delhi presents with fever, arthralgia, and extensive petechial rash for 3 days. Lab investigations revealed a hemoglobin of 9 g/ dL, a white blood cell count of 9000 cells/mm3, a platelet count of 20000 cells/mm3, and a prolonged bleeding time. The clotting time was normal. What is the most likely diagnosis?
- Which of the following statements is true about Trichomonas vaginalis?
- A lady from West Rajasthan presented with an ulcer surrounded by erythema on the right leg. Microscopy of the biopsy from the edge of the ulcer showed organisms with dark staining nuclei and kinetoplast. What is the most likely causative agent?
- A child presents with a fever and a rash. Urine examination showed cells with owl's eye appearance. What is the most likely diagnosis?
- Infection with Clonorchis sinensis is associated with an increased risk of__?
View More Questions