# Case Report: Fournier's gangrene in children: a report of three cases from a pediatric center in Vietnam

## TL;DR

This case report describes three rare instances of Fournier's gangrene in children from Vietnam, highlighting the importance of early diagnosis and treatment.

## Contribution

The novelty lies in reporting three distinct pediatric cases of a rare condition in a region where such cases are uncommon.

## Key findings

- Three pediatric cases of Fournier's gangrene were successfully managed with early intervention.
- One case occurred post-hypospadias surgery, indicating a possible surgical complication.
- All patients showed favorable outcomes despite varying initial health conditions.

## Abstract

Fournier's gangrene (FG) is a form of necrotizing fasciitis affecting the perineal and external genital regions. It is a rare urological emergency, particularly uncommon in children. Accurate diagnosis, early administration of broad-spectrum antibiotics, and timely surgical debridement are essential for effective management. In this study, we present three distinct pediatric cases of FG. The first case involved a 10-month-old boy with no underlying health conditions who was successfully treated with favorable outcomes. The second case was a 12-year-old boy with dengue fever and extensive scrotal gangrene, who recovered well after a challenging postoperative course. The third case was a 4-year-old boy who developed necrotizing scrotal infection following a second-stage hypospadias repair. All three patients were promptly diagnosed and managed with early intervention.