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Toxic shock syndrome after suction lipectomy.

T Umeda1, H Ohara, O Hayashi

  • 1Department of Plastic and Reconstructive Surgery at the Tokyo Medical and Dental University, Japan. umedplas@med.tmd.ac.jp

Plastic and Reconstructive Surgery
|July 7, 2000
PubMed
Summary

A rare case of toxic shock syndrome with necrotizing fasciitis occurred after cosmetic suction lipectomy. Early recognition and aggressive treatment are crucial for managing this severe postoperative complication.

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Area of Science:

  • Plastic Surgery
  • Infectious Diseases
  • Critical Care Medicine

Background:

  • Aesthetic suction lipectomy is a common cosmetic procedure.
  • Postoperative complications, though rare, can be severe.
  • Toxic shock syndrome (TSS) is a serious condition requiring prompt medical attention.

Observation:

  • A patient developed severe pain on postoperative day 2 after undergoing suction lipectomy of the abdomen, buttocks, and thighs.
  • Upon admission, the patient presented with symptoms indicative of toxic shock.
  • The patient required extensive medical and psychiatric support for approximately one month.

Findings:

  • The case highlights a rare occurrence of toxic shock syndrome (TSS) complicated by necrotizing fasciitis following elective cosmetic surgery.

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  • Necrotizing fasciitis, a rapidly progressing bacterial infection, was identified in conjunction with TSS.
  • The patient's recovery necessitated intensive care and prolonged medical management.

    • Implications:

    • Plastic surgeons must be aware of the potential for rare but life-threatening complications like TSS after lipectomy.
    • Prompt diagnosis and aggressive supportive care are essential for improving outcomes in patients with postoperative TSS.
    • This case underscores the importance of vigilance for severe infections in the post-cosmetic surgery period.