Introduction: Human Salmonella infections have been classically distinguished into diseases
caused by typhoidal and non-typhoidal salmonella (NTS). Typhiodal salmonella includes S.
enterica serovars Typhi and Paratyphi that cause the systemic disease but are restricted to human infections,
while NTS consists mainly of other serovars that predominantly cause self-limiting gastroenteritis
in humans. Localisation of foci with persisting infection occurs due to dissemination of
the bacteria throughout the body and can cause a variety of rare clinical syndromes at aberrant
sites. Fournier’s gangrene, a rapidly progressive, often fatal, necrotizing fasciitis of the external
genitalia and perineum due to Salmonella typhimurium, is a rare manifestation and has never been
Case: A 22-year-old male, apparently healthy patient with no relevant past medical history, was
presented to surgical emergency with chief complaints of swelling of bilateral scrotal area. Infective
etiology was considered and a diagnosis of Fournier's gangrene was made. Pure growth of Salmonella
typhimurium was obtained after repeated subculture and was identified biochemically and
on serotyping, as Salmonella enterica, Serotype typhimurium using specific antisera.
Conclusion: In our case report, we describe a case of Fournier's gangrene due to Salmonella Typhimurium
in an otherwise healthy male to highlight the unusual presentation of Non typhoidal salmonellae
at an aberrant site. We also emphasize the importance of using selective media like Selenite
F broth for isolation of Salmonella typhimurium from a pus sample.