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Pseudomonas aeruginosa septicemia causes death following liposuction with allogenic fat transfer and gluteal augmentation

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Abstract

Cosmetic surgery to improve aesthetic and body conditions is becoming increasingly popular worldwide. In 2013, the American Society of Plastic Surgeons (ASPS) reported that one of the top five cosmetic procedures in the US is liposuction with over 200,000 procedures per year. This type of surgery is regarded as a minimal risk operation. Since surgical complications are not often reported, liposuction is usually performed in outpatient clinics. Fatality after cosmetic liposuction surgery is also relatively rare. This case report presents a death following cosmetic liposuction with allogenic fat transfer and gluteal augmentation. The medico-legal autopsy, pathology, and postmortem microbiology examinations reveal that septicemia by Pseudomonas aeruginosa was the definite cause of death. Surgical risk assessment and pathogenesis of the organism was reviewed.

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References

  1. El Solh AA, Alhajhusain A (2009) Update on the treatment of Pseudomonas aeruginosa pneumonia. J Antimicrob Chemother 64(2):229–238

    Article  PubMed  Google Scholar 

  2. Lehnhardt M, Homann HH, Daigeler A, Hauser J, Palka P, Steinau HU (2008) Major and lethal complications of liposuction: a review of 72 cases in Germany between 1998 and 2002. Plast Reconstr Surg 121(6):396e–403e

    Article  PubMed  Google Scholar 

  3. Meyers H, Brown-Elliott BA, Moore D, Curry J, Truong C, Zhang Y et al (2002) An outbreak of Mycobacterium chelonae infection following liposuction. Clin Infect Dis 34(11):1500–1507

    Article  PubMed  Google Scholar 

  4. Gravante G, Araco A, Sorge R, Araco F, Delogu D, Cervelli V (2007) Wound infections in postbariatric patients undergoing body contouring abdominoplasty: the role of smoking. Obes Surg 17(10):1325–1331

    Article  CAS  PubMed  Google Scholar 

  5. Araco A, Gravante G, Sorge R, Araco F, Delogu D, Cervelli V (2008) Wound infections in aesthetic abdominoplasties: the role of smoking. Plast Reconstr Surg 121(5):305e–310e

    Article  PubMed  Google Scholar 

  6. Levy D (1990) The fat embolism syndrome. A review. Clin Orthop Relat Res 261:281–286

    PubMed  Google Scholar 

  7. Fulde GW, Harrison P (1991) Fat embolism–a review. Arch Emerg Med 8(4):233–239

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  8. Rao RB, Ely SF, Hoffman RS (1999) Deaths related to liposuction. N Engl J Med 340(19):1471–1475

    Article  CAS  PubMed  Google Scholar 

  9. Araco A, Araco F, Abdullah P, Overton J, Gravante G (2009) Pseudomonas aeruginosa necrotizing infection of the abdominal flap in a post-bariatric patient undergoing body contouring surgery. Obes Surg 19(6):812–816

    Article  PubMed  Google Scholar 

  10. Park SY, Jeong WK, Kim MJ, Lee KM, Lee WS, Lee DH (2010) Necrotising fasciitis in both calves caused by Aeromonas caviae following aesthetic liposuction. J Plast Reconstr Aesthet 63(9):E695–E698

    Article  Google Scholar 

  11. Alexander J, Takeda D, Sanders G, Goldberg H (1988) Fatal necrotizing fasciitis following suction-assisted lipectomy. Ann Plast Surg 20(6):562–565

    Article  CAS  PubMed  Google Scholar 

  12. Barillo DJ, Cancio LC, Kim SH, Shirani KZ, Goodwin CW (1998) Fatal and near-fatal complications of liposuction. South Med J 91(5):487–492

    Article  CAS  PubMed  Google Scholar 

  13. Umeda T, Ohara H, Hayashi O, Ueki M, Hata Y (2000) Toxic shock syndrome after suction lipectomy. Plast Reconstr Surg 106(1):204–207, discussion 8–9

    Article  CAS  PubMed  Google Scholar 

  14. Heitmann C, Czermak C, Germann G (2000) Rapidly fatal necrotizing fasciitis after aesthetic liposuction. Aesthet Plast Surg 24(5):344–347

    Article  CAS  Google Scholar 

  15. Gonzales Alana I, de la Marin Cruz D, Palao Domenech R, Barret Nerin JP (2007) Necrotizing fasciitis after liposuction. Acta Chir Plast 49(4):99–102

    CAS  PubMed  Google Scholar 

  16. Wang HD, Zheng JH, Deng CL, Liu QY, Yang SL (2008) Fat embolism syndromes following liposuction. Aesthet Plast Surg 32(5):731–736

    Article  Google Scholar 

  17. Ross RM, Johnson GW (1988) Fat embolism after liposuction. Chest 93(6):1294–1295

    Article  CAS  PubMed  Google Scholar 

  18. Breiting LB, Lock-Andersen J, Matzen SH (2011) Increased morbidity in patients undergoing abdominoplasty after laparoscopic gastric bypass. Dan Med Bull 58(4):A4251

    PubMed  Google Scholar 

  19. Valdatta L, Thione A, Buoro M, Tuinder S (2001) A case of life-threatening sepsis after breast augmentation by fat injection. Aesthet Plast Surg 25(5):347–349

    Article  CAS  Google Scholar 

  20. Mena KD, Gerba CP (2009) Risk assessment of Pseudomonas aeruginosa in water. Rev Environ Contam Toxicol 201:71–115

    CAS  PubMed  Google Scholar 

  21. Hauser AR (2009) The type III secretion system of Pseudomonas aeruginosa: infection by injection. Nat Rev Microbiol 7(9):654–665

    Article  CAS  PubMed Central  PubMed  Google Scholar 

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The authors declare that they have no conflict of interest.

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Authors and Affiliations

  1. Kornkiat Vongpaisarnsin, Chulalongkorn University, Bangkok, Thailand

    Kornkiat Vongpaisarnsin, Nat Tansrisawad, Udomsak Hoonwijit & Teerachote Jongsakul

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  1. Kornkiat Vongpaisarnsin
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  2. Nat Tansrisawad
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  3. Udomsak Hoonwijit
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  4. Teerachote Jongsakul
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Correspondence to Kornkiat Vongpaisarnsin.

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Vongpaisarnsin, K., Tansrisawad, N., Hoonwijit, U. et al. Pseudomonas aeruginosa septicemia causes death following liposuction with allogenic fat transfer and gluteal augmentation. Int J Legal Med 129, 815–818 (2015). https://doi.org/10.1007/s00414-014-1056-3

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  • DOI: https://doi.org/10.1007/s00414-014-1056-3

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