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Case Reports in Pediatrics
Volume 2013, Article ID 704532, 4 pages
http://dx.doi.org/10.1155/2013/704532
Case Report

Fournier's Gangrene Associated with Local Cutaneous HPV Lesions in a Previously Healthy Girl

1Department of Paediatrics, Venizelion General Hospital, Knossos Avenue, 71409 Heraklion, Crete, Greece
2Department of Paediatric Surgery, University General Hospital of Heraklion, 71500 Heraklion, Crete, Greece

Received 19 February 2013; Accepted 28 March 2013

Academic Editors: Y.-H. Weng and V. C. Wong

Copyright © 2013 Maria Tsinti et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

A case of an 11-year-old prepubertal girl with Fournier's gangrene is presented. The diagnosis was posed after the disease had progressed to the typical clinical picture of frank gangrene. A benign viral infection, common warts, possibly represents the initiating event of the development of this necrotizing soft tissue infection. The development of childhood Fournier's gangrene in association with viral infections has been reported in the past. An optimal outcome was achieved by aggressive antibiotic and surgical treatment despite the late diagnosis. In children, Fournier's gangrene develops in previously healthy individuals with benign diseases often representing the initiating events; thus, high index of suspicion is necessary for an early diagnosis that will lead to the optimal outcome.