Necrotizing fasciitis after breast augmentation: rapid microbiologic detection by using sonication of removed implants and microcalorimetry.

Détails

ID Serval
serval:BIB_4525341F587E
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Etude de cas (case report): rapporte une observation et la commente brièvement.
Collection
Publications
Institution
Titre
Necrotizing fasciitis after breast augmentation: rapid microbiologic detection by using sonication of removed implants and microcalorimetry.
Périodique
American Journal of Clinical Pathology
Auteur⸱e⸱s
Yusuf E., Steinrücken J., Nordback S., Trampuz A.
ISSN
1943-7722 (Electronic)
ISSN-L
0002-9173
Statut éditorial
Publié
Date de publication
2014
Peer-reviewed
Oui
Volume
142
Numéro
2
Pages
269-272
Langue
anglais
Notes
Publication types: Case Reports ; Journal ArticlePublication Status: ppublish
Résumé
OBJECTIVES: To describe the use of sonication and microcalorimetry in diagnosing necrotizing fasciitis in a 27-year-old woman with bilateral breast implants.
METHODS: The removed breast implants were subjected to sonication and microcalorimetry. The microcalorimetry findings were correlated with conventional microbiologic methods. The time to detection of infection was noted.
RESULTS: The patient had painful cellulitis of the right breast that enlarged within hours. Her C-reactive protein level was increased. Chest radiograph showed gas formation in the soft tissue lateral of the right breast. Surgery was performed: 300 mL (right breast) and 100 mL (left breast) of serous-purulent fluid were evacuated. Streptococcus pyogenes was cultured from the fluid 1 day after clinical presentation. Infection was diagnosed by microcalorimetry of sonication fluid in 1 hour and 21 minutes. The microcalorimetry curve from the right implant reached the peak earlier than did the left implant.
CONCLUSION: Microcalorimetry will have a benefit in conditions in which rapid diagnosis of infection is important.
Mots-clé
Adult, Breast Implants/adverse effects, C-Reactive Protein/metabolism, Calorimetry/methods, Early Diagnosis, Fasciitis, Necrotizing/diagnosis, Fasciitis, Necrotizing/microbiology, Female, Humans, Sonication/methods
Pubmed
Web of science
Open Access
Oui
Création de la notice
18/10/2016 15:38
Dernière modification de la notice
20/08/2019 13:49
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