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Diagnosis and management of toxic shock syndrome after breast reconstructive procedures with silicone implants

Breast implant insertion is one of the most commonly used methods for breast reconstruction after total mastectomy. However, infection is a common postoperative complication of implant insertion. In most cases, these infections can be managed with antibiotics and supportive therapy. However, severe...

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Autores principales: Kim, Minseo, Ku, Inhoe, Jin, Ung Sik
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Society of Plastic and Reconstructive Surgeons 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8007467/
https://www.ncbi.nlm.nih.gov/pubmed/33765737
http://dx.doi.org/10.5999/aps.2020.01144
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author Kim, Minseo
Ku, Inhoe
Jin, Ung Sik
author_facet Kim, Minseo
Ku, Inhoe
Jin, Ung Sik
author_sort Kim, Minseo
collection PubMed
description Breast implant insertion is one of the most commonly used methods for breast reconstruction after total mastectomy. However, infection is a common postoperative complication of implant insertion. In most cases, these infections can be managed with antibiotics and supportive therapy. However, severe septic conditions, such as toxic shock syndrome (TSS), can sometimes occur. TSS is an extremely rare but life-threatening complication, for which early diagnosis and proper management play a crucial role in determining patients’ outcome. Although only 16 cases of TSS after breast implant insertion have been reported in the literature, most of those cases involved a serious clinical course. The reason for the seriousness of the clinical course of TSS in these cases is that the initial impression and presentation of these patients are nonspecific, and patients can easily be misdiagnosed as having a simple upper respiratory infection, causing the underlying condition to be neglected. Herein, we present two patients who were diagnosed with TSS after receiving breast reconstruction surgery via a silicone implant after total mastectomy. Both patients were misdiagnosed at the initial examination since they showed no local infectious signs on the postoperative wound.
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spelling pubmed-80074672021-04-07 Diagnosis and management of toxic shock syndrome after breast reconstructive procedures with silicone implants Kim, Minseo Ku, Inhoe Jin, Ung Sik Arch Plast Surg Breast/Trunk Breast implant insertion is one of the most commonly used methods for breast reconstruction after total mastectomy. However, infection is a common postoperative complication of implant insertion. In most cases, these infections can be managed with antibiotics and supportive therapy. However, severe septic conditions, such as toxic shock syndrome (TSS), can sometimes occur. TSS is an extremely rare but life-threatening complication, for which early diagnosis and proper management play a crucial role in determining patients’ outcome. Although only 16 cases of TSS after breast implant insertion have been reported in the literature, most of those cases involved a serious clinical course. The reason for the seriousness of the clinical course of TSS in these cases is that the initial impression and presentation of these patients are nonspecific, and patients can easily be misdiagnosed as having a simple upper respiratory infection, causing the underlying condition to be neglected. Herein, we present two patients who were diagnosed with TSS after receiving breast reconstruction surgery via a silicone implant after total mastectomy. Both patients were misdiagnosed at the initial examination since they showed no local infectious signs on the postoperative wound. Korean Society of Plastic and Reconstructive Surgeons 2021-03 2021-03-15 /pmc/articles/PMC8007467/ /pubmed/33765737 http://dx.doi.org/10.5999/aps.2020.01144 Text en Copyright © 2021 The Korean Society of Plastic and Reconstructive Surgeons This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Breast/Trunk
Kim, Minseo
Ku, Inhoe
Jin, Ung Sik
Diagnosis and management of toxic shock syndrome after breast reconstructive procedures with silicone implants
title Diagnosis and management of toxic shock syndrome after breast reconstructive procedures with silicone implants
title_full Diagnosis and management of toxic shock syndrome after breast reconstructive procedures with silicone implants
title_fullStr Diagnosis and management of toxic shock syndrome after breast reconstructive procedures with silicone implants
title_full_unstemmed Diagnosis and management of toxic shock syndrome after breast reconstructive procedures with silicone implants
title_short Diagnosis and management of toxic shock syndrome after breast reconstructive procedures with silicone implants
title_sort diagnosis and management of toxic shock syndrome after breast reconstructive procedures with silicone implants
topic Breast/Trunk
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8007467/
https://www.ncbi.nlm.nih.gov/pubmed/33765737
http://dx.doi.org/10.5999/aps.2020.01144
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