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Fournier's gangrene, Necrotizing fasciitis, Helcococcus kunzii
Fournier’s gangrene is an acute rapidly progressing form of necrotizing fasciitis involving the genitalia and perianal regions. Trauma and local infection are the most common risk factors especially in the setting of diabetes. It is usually a polymicrobial infection caused by skin flora of the genital area. The most commonly isolated aerobic microorganism are Escherichia coli, Klebsiella pneumoniae, and Staphylococcus aureus, while Bacteroides fragilis is a common culprit from the anaerobic group. We report a patient with Fournier’s gangrene caused by Helcococcus kunzii; anaerobic gram-positive coccus not known to be associated with Fournier’s gangrene before.