Group A streptococcal fasciitis after submental tumescent liposuction.
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.
Beeson
W H
WH
Beeson Aesthetic Surgery Institute, 13590 N Meridian St, Carmel, IN 46032, USA. fps@beeson.com
Slama
T G
TG
Beeler
R T
RT
Rachel
J D
JD
Picerno
N A
NA
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