Fat necrosis and polymicrobial wound infection caused partly by after reduction mammoplasty.

BMJ case reports 2018 Vol.2018()

Ayoade F, Mada PK, Alam M

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Abstract

is a rare opportunistic aerobic gram-negative bacillus that naturally exists in soil, water and plants. The pathogen has been described in association with diabetic foot infections, biliary infections, bacteraemia and native and prosthetic joint infections. Fat necrosis and wound infection following breast reduction surgery or other plastic surgeries caused by this pathogen have not been previously described. We present a case of bilateral fat necrosis, wound infection and dehiscence in a 24-year-old woman with no significant past medical problems. She initially had an uneventful early postoperative course but 3 weeks after surgery noticed pain and discharge from both nipple/areola area of both breasts which later developed into full-thickness fat necrosis and complete destruction of the nipple areolar complex. , and were identified from wound exudate cultures. She was treated with surgical debridement and 2 weeks of appropriate antibiotics with a favourable outcome.

추출된 의학 개체 (NER)

유형영어 표현한국어 / 풀이UMLS CUI출처등장
합병증 necrosis 괴사 dict 4
합병증 wound infection 감염 dict 3
시술 reduction mammoplasty 유방성형술 dict 1
시술 breast reduction 유방성형술 dict 1
해부 Fat scispacy 1
해부 biliary scispacy 1
해부 breasts scispacy 1
해부 breast 유방 dict 1
합병증 wound scispacy 1
합병증 nipple/areola area scispacy 1
합병증 dehiscence 상처열개 dict 1
질환 polymicrobial scispacy 1
질환 infection C0009450
Communicable Diseases
scispacy 1
질환 opportunistic aerobic gram-negative scispacy 1
질환 diabetic foot infections C0744130
diabetic foot infection
scispacy 1
질환 biliary infections scispacy 1
질환 bacteraemia C0004610
Bacteremia
scispacy 1
질환 infections C0851162
Infections of musculoskeletal system
scispacy 1
질환 pain C0030193
Pain
scispacy 1
질환 breasts C0006141
Breast
scispacy 1
질환 wound exudate cultures scispacy 1
기타 joint scispacy 1
기타 bilateral fat scispacy 1
기타 nipple areolar scispacy 1

MeSH Terms

Anti-Bacterial Agents; Breast Diseases; Coinfection; Debridement; Enterobacteriaceae Infections; Enterococcus faecalis; Escherichia coli; Escherichia coli Infections; Fat Necrosis; Female; Gram-Positive Bacterial Infections; Humans; Mammaplasty; Postoperative Complications; Surgical Wound Dehiscence; Surgical Wound Infection; Young Adult

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