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More Than Meets the Eye: A Rapidly Progressive Skin Infection in a Football Player

Geissler, Kyle E. MD*,†; Borchers, James R. MD*,†

Clinical Journal of Sport Medicine: May 2015 - Volume 25 - Issue 3 - p e54–e56
doi: 10.1097/JSM.0000000000000125
Case Report

Abstract: Fournier gangrene (FG) is a rare polymicrobial infection of perineum that carries a high mortality rate. Survival depends on rapid identification of the infection with early and extensive debridement of necrotic tissue. We present a case of an otherwise healthy American football offensive lineman who was initially hospitalized for gluteal abscess and advancing cellulitis. The patient was discovered to have FG during intraoperative debridement of the abscess and was subsequently treated with several weeks of broad-spectrum antibiotics. This case highlights the importance that team physicians play in the identification and appropriate management of potentially life-threatening infections.

Departments of *Sports Medicine; and

Family Medicine, The Ohio State University, Columbus, Ohio.

Corresponding Author: Kyle E. Geissler, MD, PCC Community Wellness Center—Sports Medicine Clinic, 3 Erie Court, Suite 1300, Oak Park, IL 60302 (

The authors report no conflicts of interest.

Received June 10, 2013

Accepted January 23, 2014

Copyright © 2015 Wolters Kluwer Health, Inc. All rights reserved.