Introduction:

Fournier gangrene is an infectious disease characterized by a necrotizing fascitis of fulminant evolution that affects the perineal, genital or perianal region, with rapid progression and high lethality.

Objective:

To describe the patient symptomatology and good evolution, despite several factors of poor prognosis.

Clinical case:

77-year-old male patient, diabetic and hypertensive, referred to intensive care, from the urology department, with the diagnosis of Fournier gangrene, metabolic decontrol and exacerbation of chronic kidney disease.

Conclusions:

With intensive surgical and medical treatment and the use of hyperbaric oxygenation, he had a favorable evolution, until his discharge.

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