A 43-year-old Japanese male vagrant collapsed suddenly in a police station. The man was
resuscitated in hospital but died about 13 h later. An autopsy revealed necrotizing fasciitis in
the genitalia and lower abdominal wall. The man was considered to have died from
endotoxic shock following on Fournier's gangrene.

Fournier gangrene is a rare fulminant necrotizing infection of the skin and soft tissue of the
perineum that may result in rapid death. We describe the autopsy case of a 70-year-old
female with uncontrolled diabetes mellitus who was found unexpectedly dead in her house
where she lived with her dog. Examination of the body revelaed a deep necrotic ulceration
of the perineum with exposure of the underlying deep muscles that was initially
misinterpreted by police officers as post mortem animal predation. Medicolegal examination …