Plastic and Reconstructive Surgery, Global Open (Apr 2024)

Necrotizing Fasciitis after Panniculectomy Caused by Finegoldia magna

  • David Breidung, MD,
  • Sarina Delavari, MD,
  • Ioannis-Fivos Megas, MD,
  • Bert Reichert, MD,
  • Moritz Billner, MD

DOI
https://doi.org/10.1097/GOX.0000000000005773
Journal volume & issue
Vol. 12, no. 4
p. e5773

Abstract

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Summary:. Necrotizing fasciitis is a rare yet severe complication after body contouring surgery. We present a case of a 54-year-old woman with a complex medical history who developed necrotizing fasciitis 9 days after panniculectomy and epigastric hernia repair. Microbiological examination revealed Finegoldia magna as the causative agent, a rare pathogen in necrotizing fasciitis. Patients undergoing body contouring may be at increased risk of developing necrotizing fasciitis; therefore, increased attention should be paid to this differential diagnosis in case of postoperative signs of infection. This case report highlights the pivotal importance of early recognition, prompt surgical intervention, and comprehensive medical treatment to improve patient outcomes in necrotizing fasciitis.