title: Toxic shock syndrome after suction lipectomy.
abstract: We present a case of toxic shock syndrome with necrotizing fasciitis after suction lipectomy. The patient underwent aesthetic suction lipectomy of the abdomen, buttocks, and thighs during an office procedure by a cosmetic surgeon. On postoperative day 2, the patient was referred to the emergency department of our hospital because of pain. On admission, the patient was in toxic shock. She required intensive medical treatment for about 1 month, along with psychiatric help to adapt after the illness. Although toxic shock syndrome is a rare postoperative complication, every plastic surgeon should be acquainted with it. A combination of early recognition, diagnosis, and aggressive supportive therapy is the only successful treatment.
authors.affiliation: Department of Plastic and Reconstructive Surgery at the Tokyo Medical and Dental University, Japan. umedplas@med.tmd.ac.jp
authors.forename: T
authors.initials: T
authors.lastname: Umeda
authors.forename: H
authors.initials: H
authors.lastname: Ohara
authors.forename: O
authors.initials: O
authors.lastname: Hayashi
authors.forename: M
authors.initials: M
authors.lastname: Ueki
authors.forename: Y
authors.initials: Y
authors.lastname: Hata
mesh_terms: D000328:Adult; D019115:Fasciitis, Necrotizing / Q000209:etiology; D005260:Female; D006801:Humans; D015187:Lipectomy; D009102:Multiple Organ Failure / Q000209:etiology; D011183:Postoperative Complications / Q000209:etiology*; D012086:Reoperation; D012307:Risk Factors; D012772:Shock, Septic / Q000209:etiology*; D016038:Skin Transplantation; D013203:Staphylococcal Infections / Q000209:etiology*