METHODS: A 66-year-old man, with a history of uncontrolled type 2 diabetes, obesity with BMI 38, chronic kidney failure and chronic heart failure, was admitted to the Emergency Department with a large area of necrosis involving the perineal and perianal regions.
CONCLUSIONS: Fournier\'s gangrene is favoured by hypertension, obesity, chronic alcoholism, renal and heart failure. Generally, Fournier\'s gangrene needs other procedures in addition to wound debridement such as colostomy, cystostomy, or orchiectomy.
CONCLUSIONS: We report a case of FG found as complication in a patient with uncontrolled type 2 diabetes, treated with effective combination therapy with surgical debridement and antibiotics infusion.