Fournier gangrene is a type of necrotizing fasciitis or gangrene affecting the external genitalia and/od perineum. It commonly occurs in older men, but it can also occur in women and children. It is more likely to occur in diabetics, alcoholics, or those who are immune compromised. Initial symptoms of Fournier gangrene include swelling or sudden pain in the scrotum, fever, pallor and generalized weakness. More marked cases are characterized by a foul odor and purulent discharge from the infected tissue. Crepitus has been reported. It begins as a subcutaneous infection. However, soon necrotic patches appear in the overlying skin which later develop into necrosis