Fournier’s gangrene is a condition mainly found in adults and it very rarely occurs in children. Multiple predisposing factors have been identified for children, including circumcision, diaper dermatitis, the occurrence of abscesses, anorectal trauma, and immune deficiency. Characteristic signs and symptoms include rapidly progressing edema and hyperemia in the perineal region, accompanied by intense pain and fever. Once Fournier’s gangrene is diagnosed, therapy must be immediately instituted, using wide spectrum intravenous antibiotics and early surgical debridement of devitalized tissues. We present a case report including clinical and epidemiological characteristics of two pediatric patients with Fournier’s gangrene who received medical and surgical therapy at the Instituto Nacional de Salud del Niño in San Borja, Lima, Peru.

Fournier’s gangrene is a condition mainly found in adults and it very rarely occurs in children. Multiple predisposing factors have been identified for children, including circumcision, diaper dermatitis, the occurrence of abscesses, anorectal trauma, and immune deficiency. Characteristic signs and symptoms include rapidly progressing edema and hyperemia in the perineal region, accompanied by intense pain and fever. Once Fournier’s gangrene is diagnosed, therapy must be immediately instituted, using wide spectrum intravenous antibiotics and early surgical debridement of devitalized tissues. We present a case report including clinical and epidemiological characteristics of two pediatric patients with Fournier’s gangrene who received medical and surgical therapy at the Instituto Nacional de Salud del Niño in San Borja, Lima, Peru.

Los objetivos de la reconstrucción son mejorar las funciones básicas de agarre y prensión de la mano, así como mejorar la estética. Existen varias opciones quirúrgicas, que incluyen pulgarización, transferencia de dedo a mano, ablación, alargamiento por distracción, transferencia de articulación de dedo del pie vascularizado o el uso de aloinjerto.6 La pulgarización del dedo índice es hoy en día el método de elección en la reconstrucción del pulgar para el pulgar ausente (tipo V), el pulgar flotante (tipo IV) y una opción de tratamiento para el pulgar hipoplásico con ausencia de la articulación carpometacarpiana (tipo IIIB) según la clasificación de Manske y Mc Carrol. Los beneficios de este procedimiento son un tiempo quirúrgico corto, una recuperación sensorial, motora y funcional temprana.