title: Thigh abscess and necrotizing fasciitis following an inside-out transobturator tape intervention: a case report.
abstract: BACKGROUND
  Tension-free vaginal transobturator tapes are used worldwide in the treatment of urinary incontinence in women. Very few severe complications have been described following this procedure, with no standard treatment yet established.
  
  
  METHODS
  We present the case of a 36-year-old French white woman with no remarkable medical history, presenting with an abscess and necrotizing fasciitis 48 hours after an inside-out tension-free transobturator procedure. Samples were collected by guided puncture from the abscess, retrieving Staphylococcus aureus and Citrobacter koseri.
  
  
  CONCLUSIONS
  Severe complications following this procedure are rare, although it can have the potential for significant morbidity and even mortality, which is worth highlighting. We recommend early surgical treatment in combination with broad-spectrum antibiotics and coverage for Staphylococcus aureus, which may be a causative agent.
authors.affiliation: Maladies Infectieuses et Tropicales, CHU Nord, AP-HM, Pôle des Maladies Infectieuses et Tropicales, Marseille, France.|Aix Marseille Université, URMITE, UM63, CNRS 7278, IRD 198, Inserm 1095, 13005, Marseille, France.
authors.forename: Jad
authors.initials: J
authors.lastname: Kerbaj
authors.affiliation: Maladies Infectieuses et Tropicales, CHU Nord, AP-HM, Pôle des Maladies Infectieuses et Tropicales, Marseille, France.|Aix Marseille Université, URMITE, UM63, CNRS 7278, IRD 198, Inserm 1095, 13005, Marseille, France.|Institut Hospitalo-Universitaire Méditerranée Infection, 13005, Marseille, France.
authors.forename: Camille
authors.initials: C
authors.lastname: Aubry
authors.affiliation: Service d'imagerie Médicale, CHU Nord, AP-HM, Marseille, France.
authors.forename: Caroline
authors.initials: C
authors.lastname: Prost
authors.affiliation: Maladies Infectieuses et Tropicales, CHU Nord, AP-HM, Pôle des Maladies Infectieuses et Tropicales, Marseille, France. Philippe.brouqui@univ-amu.fr.|Aix Marseille Université, URMITE, UM63, CNRS 7278, IRD 198, Inserm 1095, 13005, Marseille, France. Philippe.brouqui@univ-amu.fr.|Institut Hospitalo-Universitaire Méditerranée Infection, 13005, Marseille, France. Philippe.brouqui@univ-amu.fr.
authors.forename: Philippe
authors.initials: P
authors.lastname: Brouqui
mesh_terms: D000038:Abscess / Q000000981:diagnostic imaging* / Q000628:therapy; D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D041041:Citrobacter koseri; D004322:Drainage; D004756:Enterobacteriaceae Infections / Q000000981:diagnostic imaging* / Q000628:therapy; D019115:Fasciitis, Necrotizing / Q000000981:diagnostic imaging* / Q000628:therapy; D005260:Female; D006801:Humans; D011183:Postoperative Complications / Q000000981:diagnostic imaging* / Q000628:therapy; D013203:Staphylococcal Infections / Q000000981:diagnostic imaging* / Q000628:therapy; D013211:Staphylococcus aureus; D053825:Suburethral Slings; D013848:Thigh / Q000000981:diagnostic imaging; D014057:Tomography, X-Ray Computed; D014550:Urinary Incontinence, Stress / Q000601:surgery*
chemical_list: D000900:Anti-Bacterial Agents
keywords: Abscess; Necrotizing fasciitis; Staphylococcus aureus; Vaginal transobturator tapes