Devastating methicillin resistant Staphylococcus aureus wound infection following abdominoplasty in a prior bariatric surgery patient.
Abstract
A 46-year-old female smoker presented 12 months after laparoscopic adjustable gastric banding, with massive weight loss and skin excess of the abdomen and flanks. She underwent abdominoplasty with muscle plication and flanks liposuction, but on the 14th postoperative day this was complicated by a methicillin-resistant Staph. aureus wound infection. Multiple surgical debridements and high doses of intravenous antibiotics were necessary for cure and to avoid further septic complications. Complete wound closure was achieved after 3 months of therapy. Concomitant risk factors for wound infection (obesity, smoking, flap construction) contributed to a rare but potentially fatal wound complication following abdominoplasty. We alert the surgeon to such postoperative infections and the necessity for a non-conservative approach.
추출된 의학 개체 (NER)
| 유형 | 영어 표현 | 한국어 / 풀이 | UMLS CUI | 출처 | 등장 |
|---|---|---|---|---|---|
| 시술 | abdominoplasty
|
복부성형술 | dict | 3 | |
| 합병증 | wound infection
|
감염 | dict | 3 | |
| 시술 | liposuction
|
지방흡입 | dict | 1 | |
| 시술 | flap
|
피판재건술 | dict | 1 | |
| 해부 | intravenous
|
scispacy | 1 | ||
| 해부 | gastric
|
scispacy | 1 | ||
| 해부 | skin
|
scispacy | 1 | ||
| 해부 | flanks
|
scispacy | 1 | ||
| 해부 | muscle
|
scispacy | 1 | ||
| 해부 | flanks liposuction
|
scispacy | 1 | ||
| 합병증 | wound
|
scispacy | 1 | ||
| 합병증 | abdomen
|
scispacy | 1 | ||
| 약물 | methicillin
|
C0025643
methicillin
|
scispacy | 1 | |
| 질환 | infection
|
C0009450
Communicable Diseases
|
scispacy | 1 | |
| 질환 | weight loss
|
C1262477
Weight Loss
|
scispacy | 1 | |
| 질환 | aureus wound infection
|
scispacy | 1 | ||
| 질환 | septic
|
C0333534
septic
|
scispacy | 1 | |
| 질환 | obesity
|
C0028754
Obesity
|
scispacy | 1 | |
| 질환 | postoperative infections
|
C0392618
Postoperative infection
|
scispacy | 1 | |
| 기타 | patient
|
scispacy | 1 | ||
| 기타 | female
|
scispacy | 1 |
MeSH Terms
Abdomen; Female; Humans; Lipectomy; Methicillin Resistance; Middle Aged; Risk Factors; Staphylococcal Infections; Staphylococcus aureus; Surgical Wound Infection
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