Abstract

1. Abstract
Necrotizing fasciitis of the perineum and external genitalia is a life-threatening infective gangrene, primarily seen in adults but relatively rare in children. We present a nine-year-old male child with spinal bifida and double incontence who was admitted at our hospital due to gangrenous right hemi-scrotal ulcer extending to the right thigh. It was proceeded with painful swollen hemi-scrotum 2wks prior to admission. We treated him aggressively with broad spectrum antibiotics and early surgical debridement. Being paraplegic with double incontinence hence spending most of the time dressed with diapers we therefore think of poor hygiene and the diaper rash as the etiological factors. Early surgical debridement with appropriate antibiotics and aggressive supportive care usually gave good results.