背景技术吸脂术是通常执行的美学程序。正在整合新技术,以瞄准皮肤上的细纹或折痕,被称为韵律,和皮肤松弛不能用吸脂术纠正。“Liposculpture”是一个新术语,用于描述吸脂术的一种变体,它集成了这种减少脂肪和收紧皮肤的新技术。一种被称为Renuvion的新形式的脂雕,利用基于氦的等离子体技术,正在添加以改善美容效果。在这个案例报告中,通过使用这项新技术,我们描述了一个伪装成蜂窝织炎的内部热损伤病例。案例报告一名37岁的非洲裔美国女性,有贫血史,高血压,高脂血症,和抑郁症,之前的乳房缩小和抽脂手术,向急诊室提交了为期5天的蜡化/消退的发烧病史,该病史是在进行吸脂术后不久开始的。影像学显示皮下气肿和腹壁水肿。经验性抗菌药物开始关注手术伤口感染,但红斑和疼痛恶化,尽管治疗。其他感染性标志物阴性,包括降钙素原阴性,白细胞计数正常,伤口和血液培养没有生长,导致考虑热损伤的新诊断。随后将抗生素降级为左氧氟沙星和多西环素的组合。她还因热损伤接受了局部磺胺嘧啶银治疗。她需要多轮红外光疗法和淋巴按摩技术,总体改善,但在6个月的随访中持续色素沉着过度。结论在接受整容手术的患者中,热损伤是极为罕见的发现。针对皮肤松弛和皱纹的治疗可能会带来更高的风险。重要的是要注意,表现可以模仿蜂窝织炎或手术部位感染。在这种情况下,小插图,我们描述了一名之前健康的37岁非裔美国女性在使用冷大气等离子体装置进行吸脂术后热损伤的罕见并发症.
BACKGROUND Liposuction is a commonly performed aesthetic procedure. New technology is being integrated to target fine lines or creases in the skin, known as rhytides, and skin laxity that cannot be corrected with liposuction. \"Liposculpture\" is a new term to describe a variation of liposuction that integrates this new technology for both fat reduction and skin tightening. A new form of liposculpture known as Renuvion, which utilizes a helium-based plasma technology, is being added to improve cosmetic outcomes. In this
case report, we describe a
case of internal thermal injury masquerading as cellulitis from the use of this new technology.
CASE REPORT A 37-year-old African-American woman with a history of anemia, hypertension, hyperlipidemia, and depression, with prior breast reduction and liposuction, presented to the emergency room with a 5-day history of waxing/waning fevers that began shortly after undergoing a liposculpture procedure. Imaging demonstrated subcutaneous emphysema and edema in the abdominal wall. Empiric antimicrobials were started given concern for surgical wound infection, but erythema and pain worsened despite treatment. Other infectious markers were negative including negative procalcitonin, normal white blood cell count, and no growth from wound and blood cultures, leading to consideration of a new diagnosis of thermal injury. Antibiotics were subsequently de-escalated to a combination of levofloxacin and doxycycline. She was also treated with topical silver sulfadiazine for her thermal injury. She required multiple rounds of infrared light therapy and lymphatic massage techniques with overall improvement but lasting hyperpigmentation by her 6-month follow-up. CONCLUSIONS Thermal injuries have been an extremely rare finding in patients undergoing cosmetic procedures. Treatments targeting skin laxity and rhytides may confer higher risk. It is important to note that presentations can mimic cellulitis or surgical site infection. In this
case vignette, we describe a rare complication of thermal injury following a liposculpture procedure using a cold atmospheric plasma device in a previously healthy 37-year-old African-American woman.