Necrotizing fasciitis complicated with multiple organ dysfunction syndrome after breast augmentation with fat from the waist and lower extremities: a case report

Zhang, Mingjun; Chen, Longjin; Chi, Kai; Xu, Liyan; Li, Yonglin

doi:10.1177/0300060520937623

Cited by 4 publications

(4 citation statements)

References 13 publications

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“…The other patient (reported by Sharma) had NF of the abdominal wall after liposuction for augmentation mammoplasty but no breast complications [131]. In preparation for bilateral breast augmentation with fat injection, another patient developed NF of the bilateral thighs and waist where liposuction was performed [132]. These last two cases demonstrated that liposuction to obtain body fat for breast augmentation can be complicated by either NF or NSTI.…”

Section: Discussionmentioning

confidence: 92%

Necrotizing Soft Tissue Infections of the Male and Female Breast: A Literature Review

Kowal-Vern¹,

Cocco²,

Matthews³

2021

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Background: Within the spectrum of necrotizing soft tissue infections (NSTI), necrotizing fasciitis (NF) has been characterized by tissue and fascial necrosis with systemic toxicity. The objective was to determine and summarize the frequency and characteristics of breast NF and NSTI in the literature. Methods: Cases were obtained through PubMed, Google Scholar, Google, and from published article reference sections. One hundred twenty-three cases were gleaned from 96 articles that reported NF and NSTI of the breast (1924 through 2021). Results: NF was reported in 70 and NSTI in 53 cases (111 women and 12 men). Patients presented with swollen, painful breasts, erythema, bullae, crepitus, necrosis, gangrene, fever, tachycardia, and neutrophilia. Fifty-nine of 123 (48.4%) patients were septic on admission. The most frequent microorganisms were β hemolytic Group A Streptococcus, and Staphylococcus aureus. Treatment consisted of antibiotics, mastectomy and debridement with flaps, skin grafts or primary and secondary closure. Forty-four (63.0%) of the NF cases had chest wall involvement; of these, 18 (14.6%) involved the breast secondarily, P < 0.0001. There were twelve mortalities (9.8%): eleven (9.0%) with NF and one (0.8%) with NSTI, P = 0.007.Conclusions: Men and women with breast NF and NSTI presented with similar signs and symptoms and required the same emergent treatment as provided for NF and NSTI of the more common sites. As a time-sensitive disease, patients treated within 12 hours of admission had a better survival. Patients with NF were more likely to have sepsis on admission, a higher mortality, and fascial chest wall/muscle involvement than patients with NSTI.

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Section: Discussionmentioning

confidence: 92%

Necrotizing Soft Tissue Infections of the Male and Female Breast: A Literature Review

Kowal-Vern¹,

Cocco²,

Matthews³

2021

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“…The complication rate for this procedure is estimated at 5%, and the occurrence of infections, such as NF, is considered rare. Its incidence is reported as 0.7% of cases when multiple procedures are performed along with liposuction [2,3]. In our case, we report a 35-year-old lady who developed NF following a liposuction procedure.…”

Section: Introductionmentioning

confidence: 80%

“…Management options include surgical excision of the affected tissues, supportive care, and combined antibiotic therapy. Nevertheless, mortality rates remain high especially after surgical interventions as it may reach up to 30-50% [1,2].…”

Section: Introductionmentioning

confidence: 99%

An Unexpected Turn: Management of a Life-Threatening Infection Following Liposuction Procedure (Case Report)

Morgom,

Eisa,

Ali

et al. 2024

Cureus

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This case report presents a rare case of necrotizing fasciitis (NF) following liposuction and lipofilling surgery in a young woman. Despite prompt diagnosis and aggressive management with multiple debridements, broad-spectrum antibiotics, and supportive care, the patient experienced a protracted course with severe complications, including intra-abdominal collection recurrence, heart failure, and sepsis. The presence of resistant bacteria (extended-spectrum beta-lactamases (ESBLs)-producing Escherichia coli and methicillinresistant Staphylococcus aureus (MRSA)) further challenged the treatment. This case highlights the importance of early recognition and aggressive management of NF, particularly in patients with risk factors following cosmetic surgery. In addition, it raises awareness of the potential for heart failure as a complication in this context and warrants further investigation.

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“…NF can be idiopathic or secondary (after trauma, chronic wounds, or skin abrasions). 4,5 Diagnosis can often be challenging and is primarily diagnosed based on clinical presentation. NF has a mortality rate of 8.7%-76%, underscoring the need for timely and accurate diagnosis and prompt medical and surgical treatment.…”

Section: Introductionmentioning

confidence: 99%

Practical Review of Necrotizing Fasciitis: Principles and Evidence-based Management

Guliyeva,

Huayllani,

Sharma

et al. 2024

Plastic and Reconstructive Surgery - Global Open

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Summary: Necrotizing fasciitis is a severe, life-threatening soft tissue infection that presents as a surgical emergency. It is characterized by a rapid progression of inflammation leading to extensive tissue necrosis and destruction. Nonetheless, the diagnosis might be missed or delayed due to variable and nonspecific clinical presentation, contributing to high mortality rates. Therefore, early diagnosis and prompt, aggressive medical and surgical treatment are paramount. In this review, we highlight the defining characteristics, pathophysiology, diagnostic modalities, current principles of treatment, and evolving management strategies of necrotizing fasciitis.

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Necrotizing fasciitis complicated with multiple organ dysfunction syndrome after breast augmentation with fat from the waist and lower extremities: a case report

Cited by 4 publications

References 13 publications

Necrotizing Soft Tissue Infections of the Male and Female Breast: A Literature Review

Necrotizing Soft Tissue Infections of the Male and Female Breast: A Literature Review

An Unexpected Turn: Management of a Life-Threatening Infection Following Liposuction Procedure (Case Report)

Practical Review of Necrotizing Fasciitis: Principles and Evidence-based Management

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