Integration of surgical and Ayurvedic interventions in the treatment of Fournier's Gangrene: A Case Report.

Fournier's gangrene is a rare, life-threatening form of necrotizing fasciitis affecting the perineum and genital region. In Ayurveda, it correlates with Kotharoga, as both share symptoms such as severe tissue necrosis, pus discharge, and a foul odor. This case report discusses a 50-year-old male who presented with fever, severe scrotal pain, blackish discoloration, and purulent discharge two days after undergoing incision and drainage (I&D) of a perianal abscess. The case was diagnosed based on clinical examination and imaging studies. Broad-spectrum antibiotics, along with herbo-mineral medicines and Rasa Aushadhi, were administered immediately. Urgent and extensive surgical debridement was performed to remove necrotic and infected tissue. Advanced wound management included collagen granule application and split-thickness skin grafting. The signs of systemic toxicity subsided within 48 hours. By day 7, purulence and odor had markedly decreased, and healthy granulation covered more than 70% of the wound bed. Collagen application accelerated healthy granulation, and skin graft take exceeded 90% within three weeks, restoring scrotal integrity without complications. Early recognition, aggressive surgical intervention, and multidisciplinary care are crucial for improving prognosis. This case highlights the importance of innovative wound care techniques in optimizing integrative treatment strategies for Fournier's gangrene.