From the Beeson Aesthetic Surgery Institute, Carmel, Ind (Drs Beeson,
Rachel, and Picerno); and the Infectious Disease (Dr Slama) and Radiology
(Dr Beeler) Units, St Vincent Hospital, Indianapolis, Ind.
Tumescent liposuction is a procedure with a good safety record. Local
infection is rare but can result in devastating consequences. We report a
rare case of group A streptococcal fasciitis complicating tumescent liposuction
and highlight the importance of early diagnosis and treatment of this condition.
A 62-year-old woman presented 8 days after submental liposuction and a platysmal
plication procedure with signs and symptoms of cervical fasciitis. Microbiological
analysis confirmed a group A streptococcal infection. By using early aggressive
medical and surgical treatments, the disease was arrested before the onset
of any necrotizing process. A high index of suspicion is required to make
an early diagnosis of this potentially disfiguring and life-threatening infection.
Beeson WH, Slama TG, Beeler RT, Rachel JD, Picerno NA. Group A Streptococcal Fasciitis After Submental Tumescent Liposuction. Arch Facial Plast Surg. 2001;3(4):277-279. doi: