title: Group A streptococcal fasciitis after submental tumescent liposuction.
abstract: Tumescent liposuction is a procedure with a good safety record. Local infection is rare but can result in devastating consequences. We report a rare case of group A streptococcal fasciitis complicating tumescent liposuction and highlight the importance of early diagnosis and treatment of this condition. A 62-year-old woman presented 8 days after submental liposuction and a platysmal plication procedure with signs and symptoms of cervical fasciitis. Microbiological analysis confirmed a group A streptococcal infection. By using early aggressive medical and surgical treatments, the disease was arrested before the onset of any necrotizing process. A high index of suspicion is required to make an early diagnosis of this potentially disfiguring and life-threatening infection.
authors.affiliation: Beeson Aesthetic Surgery Institute, 13590 N Meridian St, Carmel, IN 46032, USA. fps@beeson.com
authors.forename: W H
authors.initials: WH
authors.lastname: Beeson
authors.forename: T G
authors.initials: TG
authors.lastname: Slama
authors.forename: R T
authors.initials: RT
authors.lastname: Beeler
authors.forename: J D
authors.initials: JD
authors.lastname: Rachel
authors.forename: N A
authors.initials: NA
authors.lastname: Picerno
mesh_terms: D005208:Fasciitis / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D005260:Female; D006801:Humans; D015187:Lipectomy / Q000009:adverse effects*; D008875:Middle Aged; D009333:Neck; D013290:Streptococcal Infections / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D013297:Streptococcus pyogenes