title: Severe complications of a "Brazilian" bikini wax.
abstract: A 20-year-old Australian woman with poorly controlled type 1 diabetes presented with life-threatening Streptococcus pyogenes and Herpes simplex infection of her external genitalia following a routine perineal "Brazilian" bikini wax. Extensive pubic hair removal is now common among young adults in Australia and elsewhere. However, the infectious risks of these practices, particularly among immunosuppressed individuals, are often underappreciated.
authors.affiliation: Infectious Diseases Department, Austin Health, Victoria, Australia. Claire-Dendle@austin.org.au
authors.forename: Claire
authors.initials: C
authors.lastname: Dendle
authors.forename: Sheila
authors.initials: S
authors.lastname: Mulvey
authors.forename: Felicity
authors.initials: F
authors.lastname: Pyrlis
authors.forename: M Lindsay
authors.initials: ML
authors.lastname: Grayson
authors.forename: Paul D R
authors.initials: PD
authors.lastname: Johnson
mesh_terms: D000328:Adult; D001938:Brazil; D002481:Cellulitis / Q000209:etiology / Q000382:microbiology; D003922:Diabetes Mellitus, Type 1 / Q000188:drug therapy / Q000503:physiopathology; D005260:Female; D005836:Genitalia, Female / Q000473:pathology*; D006204:Hair Removal / Q000009:adverse effects*; D006801:Humans; D007004:Hypoglycemic Agents / Q000627:therapeutic use; D007328:Insulin / Q000627:therapeutic use; D013290:Streptococcal Infections / Q000209:etiology*; D013297:Streptococcus pyogenes; D016312:Treatment Refusal; D014885:Waxes / Q000009:adverse effects*
chemical_list: D007004:Hypoglycemic Agents; D007328:Insulin; D014885:Waxes