Fournier's gangrene associated with intradermal injection of cocaine

Introduction
Cocaine abuse is associated with a number of medical complications, most notably arrhythmias, myocardial infarction, and cerebral hemorrhages. The injection of cocaine in the penis has been predominantly recorded into the corpus cavernosae and is associated with priapism.

Aim
Here we describe the injection of subcutaneous cocaine within the penile shaft skin producing ischemic necrosis and Fournier's gangrene.

Main Outcome Measures
We sought to highlight the effects of cocaine use within the penis and emphasize the different effects that may ensue.

Methods
We reviewed a recent clinical case and conducted a literature review on the use of cocaine within the penis.

Results
The use of cocaine has been reported previously within the literature and is mainly limited to case reports. Cocaine use within the corpora and the subcutaneous tissues produces significantly different consequences ranging from priapism to Fournier's gangrene.

Conclusions
The case illustrates the growing use of cocaine and other illicit drugs and emphasizes the importance of this issue to all clinicians.