CRP and Increased total leukocyte count: The sepsis markers were raised (CRP 301 mg/dL, PCT 6.9 ng/mL, and lactate 2.9 mmol/L), continued resuscitation his LRINEC score (laboratory risk indicator for necrotizing fasciitis) was 10 (CRP: 4 points, leukocytosis = 2, hyponatremia = 2 and raised serum creatinine = 2) suspected Fournier’s gangrene and planned immediate debridement, meanwhile computer tomography pelvis showed features of Fournier’s gangrene with small air foci seen perinium with edema (Figure 1).