MANAGEMENT OF FOURNIER'S GANGRENE RESULTING FROM BARTHOLIN'S GLAND ABSCESS IN A DIABETIC FEMALE: A CASE REPORT

Introduction and importance: Fournier's gangrene is a life-threatening necrotizing fasciitis of the perineum, which is uncommon in females. Bartholin's gland abscess is a rare source of infection leading to this condition. Case Presentation: We present a 43-year-old female She had a history of poorly controlled type 2 diabetes mellitus, with no other past medical, surgical, or family history, and no known allergies. Admitted for perineal pain and fever, with rapid progression to necrotizing fasciitis. Examination revealed an abscess in the Bartholin's gland area with signs of sepsis. Emergency surgical debridement was performed without preoperative imaging due to the urgency. Clinical Discussion: The diagnosis was primarily clinical. The patient underwent urgent debridement and received broad-spectrum antibiotics. A multidisciplinary team, including gynecologists, surgeons, infectious disease specialists, and psychologists, was involved in care. Conclusion of the Abstract: This case underscores the importance of rapid diagnosis and intervention in atypical presentations of Fournier's gangrene. Multidisciplinary management and early surgical treatment are crucial.