Fournier Gangrene Caused by Migration of Foreign Body from Rectum to Bladder

An 82-year-old male patient with inadequate self-care who was living alone was brought to our emergency service with decreased general condition. We could not obtain any information about patient’s medical history. The body temperature of the patient was measured as 38.6 °C and laboratory tests revealed an urea level of 210 mg/dL, creatinine level of 4 mg/dL and white blood cell (WBC) level of 21.17 (103/uL). Patient was diagnosed as having pneumonia and respiratory insufficiency and he was admitted to the intensive care unit as he required respiratory support and intravenous ceftriaxone treatment was started. Four days after admission, extended-spectrum beta-lactamase (+) E. coli was isolated from urine culture and antibiotic treatment was changed to intravenous imipenem. Five days after admission, patient had a WBC level of 12.62 (103/uL) and was consulted to urology