Toxic shock syndrome complicated with symmetrical peripheral gangrene after liposuction and fat transfer: a case report and literature review

Abstract Background Liposuction is one of the most commonly performed aesthetic procedures. Toxic shock syndrome(TSS) is a rare, life-threatening complication. The incidence rate of TSS is very low in the plastic surgery field, especially after liposuction and fat transfer. Case presentation A 23-ye...

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Autores principales:	Zhiwan Liu, Wenjun Zhang, Boyu Zhang, Linhao Ma, Feng Zhou, Zheyuan Hu, Xiang Jie, Hong Gao, Xiaohai Zhu
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Liposuction Toxic shock syndrome Multiple organ dysfunction syndrome Necrotizing soft tissue infection Symmetrical peripheral gangrene Infectious and parasitic diseases RC109-216
Acceso en línea:	https://doaj.org/article/63b912e17b28420ab9c437236b9e95f6
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spelling	oai:doaj.org-article:63b912e17b28420ab9c437236b9e95f62021-11-08T11:18:43ZToxic shock syndrome complicated with symmetrical peripheral gangrene after liposuction and fat transfer: a case report and literature review10.1186/s12879-021-06777-21471-2334https://doaj.org/article/63b912e17b28420ab9c437236b9e95f62021-11-01T00:00:00Zhttps://doi.org/10.1186/s12879-021-06777-2https://doaj.org/toc/1471-2334Abstract Background Liposuction is one of the most commonly performed aesthetic procedures. Toxic shock syndrome(TSS) is a rare, life-threatening complication. The incidence rate of TSS is very low in the plastic surgery field, especially after liposuction and fat transfer. Case presentation A 23-year-old female patient was transferred to our emergency department from an aesthetic clinic with sepsis shock features after received liposuction and fat transfer. The patient underwent TSS, disseminated intravascular coagulation(DIC), multiple organ dysfunction syndrome (MODS), symmetrical peripheral gangrene (SPG), and necrotizing soft tissue infection of the buttocks in the next 10 days. Authors used a series of debridement and reconstructive surgery including vacuum sealing drainage (VSD) treatment, artificial dermis grafts,split-thickness skin grafts, amputation surgeries when her vital signs were stable. The patient experienced desquamation of the hand on the 26th day. The skin grafts survived and the function of both fingers and toes recovered. She was discharged 2 months after admission and was in good health. Conclusion TSS is extremely rare in the field of liposuction and autologous fat transfer. The mortality rate of TSS is very high. Early diagnosis and operative treatment, as well as correction of systemic abnormalities, are the important keys to save a patient's life.Zhiwan LiuWenjun ZhangBoyu ZhangLinhao MaFeng ZhouZheyuan HuXiang JieHong GaoXiaohai ZhuBMCarticleLiposuctionToxic shock syndromeMultiple organ dysfunction syndromeNecrotizing soft tissue infectionSymmetrical peripheral gangreneInfectious and parasitic diseasesRC109-216ENBMC Infectious Diseases, Vol 21, Iss 1, Pp 1-6 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Liposuction Toxic shock syndrome Multiple organ dysfunction syndrome Necrotizing soft tissue infection Symmetrical peripheral gangrene Infectious and parasitic diseases RC109-216
spellingShingle	Liposuction Toxic shock syndrome Multiple organ dysfunction syndrome Necrotizing soft tissue infection Symmetrical peripheral gangrene Infectious and parasitic diseases RC109-216 Zhiwan Liu Wenjun Zhang Boyu Zhang Linhao Ma Feng Zhou Zheyuan Hu Xiang Jie Hong Gao Xiaohai Zhu Toxic shock syndrome complicated with symmetrical peripheral gangrene after liposuction and fat transfer: a case report and literature review
description	Abstract Background Liposuction is one of the most commonly performed aesthetic procedures. Toxic shock syndrome(TSS) is a rare, life-threatening complication. The incidence rate of TSS is very low in the plastic surgery field, especially after liposuction and fat transfer. Case presentation A 23-year-old female patient was transferred to our emergency department from an aesthetic clinic with sepsis shock features after received liposuction and fat transfer. The patient underwent TSS, disseminated intravascular coagulation(DIC), multiple organ dysfunction syndrome (MODS), symmetrical peripheral gangrene (SPG), and necrotizing soft tissue infection of the buttocks in the next 10 days. Authors used a series of debridement and reconstructive surgery including vacuum sealing drainage (VSD) treatment, artificial dermis grafts,split-thickness skin grafts, amputation surgeries when her vital signs were stable. The patient experienced desquamation of the hand on the 26th day. The skin grafts survived and the function of both fingers and toes recovered. She was discharged 2 months after admission and was in good health. Conclusion TSS is extremely rare in the field of liposuction and autologous fat transfer. The mortality rate of TSS is very high. Early diagnosis and operative treatment, as well as correction of systemic abnormalities, are the important keys to save a patient's life.
format	article
author	Zhiwan Liu Wenjun Zhang Boyu Zhang Linhao Ma Feng Zhou Zheyuan Hu Xiang Jie Hong Gao Xiaohai Zhu
author_facet	Zhiwan Liu Wenjun Zhang Boyu Zhang Linhao Ma Feng Zhou Zheyuan Hu Xiang Jie Hong Gao Xiaohai Zhu
author_sort	Zhiwan Liu
title	Toxic shock syndrome complicated with symmetrical peripheral gangrene after liposuction and fat transfer: a case report and literature review
title_short	Toxic shock syndrome complicated with symmetrical peripheral gangrene after liposuction and fat transfer: a case report and literature review
title_full	Toxic shock syndrome complicated with symmetrical peripheral gangrene after liposuction and fat transfer: a case report and literature review
title_fullStr	Toxic shock syndrome complicated with symmetrical peripheral gangrene after liposuction and fat transfer: a case report and literature review
title_full_unstemmed	Toxic shock syndrome complicated with symmetrical peripheral gangrene after liposuction and fat transfer: a case report and literature review
title_sort	toxic shock syndrome complicated with symmetrical peripheral gangrene after liposuction and fat transfer: a case report and literature review
publisher	BMC
publishDate	2021
url	https://doaj.org/article/63b912e17b28420ab9c437236b9e95f6
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Toxic shock syndrome complicated with symmetrical peripheral gangrene after liposuction and fat transfer: a case report and literature review

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