Several factors affecting the mortality were studied such as increasing age, primary anorectal infections, existence of diabetes, delay in treatment, evidence of systemic sepsis at presentation, extent and depth of involvement, a low haematocrit, a high leukocytosis and blood urea nitrogen, a high alkaline phosphatase and serum albumin, and many others [8-13,16-19]. This evidence concerns the gene ALB and diabetes mellitus.