TY - JOUR
T1 - Lethal Necrotizing Cellulitis Caused by ESBL-Producing E. Coli after Laparoscopic Intestinal Vaginoplasty
AU - Negenborn, Vera L.
AU - van der Sluis, Wouter B.
AU - Meijerink, Wilhelmus J.H.J.
AU - Bouman, Mark Bram
PY - 2017/2/1
Y1 - 2017/2/1
N2 - Background 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. Case We 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 Conclusion Although 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.
AB - Background 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. Case We 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 Conclusion Although 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.
KW - Necrotizing fasciitis
KW - Postoperative complications
KW - Reconstructive surgical procedures
KW - Vaginoplasty
UR - http://www.scopus.com/inward/record.url?scp=85007569745&partnerID=8YFLogxK
U2 - https://doi.org/10.1016/j.jpag.2016.09.005
DO - https://doi.org/10.1016/j.jpag.2016.09.005
M3 - Article
C2 - 27664856
SN - 1083-3188
VL - 30
SP - e19-e21
JO - Journal of pediatric and adolescent gynecology
JF - Journal of pediatric and adolescent gynecology
IS - 1
ER -