Fournier’s Gangrene in a Young, Morbidly Obese Patient Without Diabetes

Fournier’s gangrene (FG) is a rapidly progressive form of necrotizing fasciitis involving the external genitalia, perineum, and perianal region. We present a case of FG in a morbidly obese patient (BMI > 40) without a known history of diabetes, malignancy, or immunodeficiency. The patient was treated with aggressive surgical debridement, broad-spectrum antibiotics, and early closure, achieving full recovery. This case highlights obesity as an independent risk factor for FG, which has significant ramifications for the future, given obesity rates in young Americans.