What happened down there? Fournier's gangrene.

Fournier's gangrene is an uncommon but potentially lethal disease caused by a mixed infection of gram negative and anaerobic bacteria. There are many associated factors that put a man at risk, and an identifiable source can be found in 95% of patients. First symptoms are malaise, fever, and scrotal discomfort, but toxic symptoms can rapidly occur and be differentiated by the original site of infection. Early detection, extensive surgical debridement, intravenous antibiotics, and hemodynamic resuscitation are crucial to survival.