Lethal Necrotizing Cellulitis Caused by ESBL-Producing E. Coli after Laparoscopic Intestinal Vaginoplasty

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• 作者：Vera L. Negenborn ; MD¹ ; Wouter B. van der Sluis ; MD ; PhD¹ ; ² ; Wilhelmus J.H.J. Meijerink ; MD ; PhD² ; ³ ; Mark-Bram Bouman ; MD ; PhD¹ ; ² ; ^{mark-bram.bouman@vumc.nl}
• 关键词：Vaginoplasty ; Reconstructive surgical procedures ; Necrotizing fasciitis ; Postoperative complications
• 刊名：Journal of Pediatric and Adolescent Gynecology
• 出版年：2017
• 出版时间：February 2017
• 年：2017
• 卷：30
• 期：1
• 页码：e19-e21
• 全文大小：1001 K
• 卷排序：30

文摘

The absence of a functional vagina has a negative effect on the quality of life of women. Multiple surgical procedures have been described for vaginal reconstruction in these patients.CaseWe present a case of an 18-year-old transgender woman, who underwent laparoscopic intestinal vaginoplasty as vaginal reconstruction, and subsequently developed septic shock and multiple organ failure on the basis of an extended-spectrum β-lactamase-producing Escherichia coli. A severe progression of the necrotizing fasciitis was lethal, despite repeated surgical debridement, intravenous antibiotic use, and supportive care at the intensive care unit.Summary and ConclusionAlthough vaginal reconstruction has a positive influence on the quality of life in transgender women, physicians and patients need to be aware of serious complications that might arise.