Toxic shock syndrome complicated with symmetrical peripheral gangrene after liposuction and fat transfer: a case report and literature review

BMC Infectious Diseases

Boyu Zhang¹  Linhao Ma¹  Hong Gao²  Xiang Jie²  Zhiwan Liu²  Wenjun Zhang²  Zheyuan Hu²  Xiaohai Zhu²  Feng Zhou³ 

[1] Department of Emergency, Shanghai Changzheng Hospital, Shanghai, China;Department of Plastic Surgery, Shanghai Changzheng Hospital, No.415 Fengyang Road, Huangpu District, 200003, Shanghai, China;Department of Plastic Surgery, Shanghai Tongji Hospital, Shanghai, China;

关键词: Liposuction;    Toxic shock syndrome;    Multiple organ dysfunction syndrome;    Necrotizing soft tissue infection;    Symmetrical peripheral gangrene;   

DOI  :  10.1186/s12879-021-06777-2

来源: Springer

【 摘 要 】

BackgroundLiposuction is one of the most commonly performed aesthetic procedures. Toxic shock syndrome(TSS) is a rare, life-threatening complication. The incidence rate of TSS is very low in the plastic surgery field, especially after liposuction and fat transfer.Case presentationA 23-year-old female patient was transferred to our emergency department from an aesthetic clinic with sepsis shock features after received liposuction and fat transfer. The patient underwent TSS, disseminated intravascular coagulation(DIC), multiple organ dysfunction syndrome (MODS), symmetrical peripheral gangrene (SPG), and necrotizing soft tissue infection of the buttocks in the next 10 days. Authors used a series of debridement and reconstructive surgery including vacuum sealing drainage (VSD) treatment, artificial dermis grafts,split-thickness skin grafts, amputation surgeries when her vital signs were stable. The patient experienced desquamation of the hand on the 26th day. The skin grafts survived and the function of both fingers and toes recovered. She was discharged 2 months after admission and was in good health.ConclusionTSS is extremely rare in the field of liposuction and autologous fat transfer. The mortality rate of TSS is very high. Early diagnosis and operative treatment, as well as correction of systemic abnormalities, are the important keys to save a patient's life.

【 授权许可】

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