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Arch Facial Plast Surg. 2001 Oct-Dec;3(4):277-9.

Group A streptococcal fasciitis after submental tumescent liposuction.

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  • 1Beeson Aesthetic Surgery Institute, 13590 N Meridian St, Carmel, IN 46032, USA.


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.

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