Fat necrosis and polymicrobial wound infection caused partly by Raoultella ornithinolytica after reduction mammoplasty

Folusakin Ayoade, Pradeep Kumar Mada, Mohammad Alam

Research output: Contribution to journalArticlepeer-review

3 Scopus citations

Abstract

Raoultella ornithinolytica is a rare opportunistic aerobic gram-negative bacillus that naturally exists in soil, water and plants. The pathogen has been described in association with diabetic foot infections, biliary infections, bacteraemia and native and prosthetic joint infections. Fat necrosis and wound infection following breast reduction surgery or other plastic surgeries caused by this pathogen have not been previously described. We present a case of bilateral fat necrosis, wound infection and dehiscence in a 24-year-old woman with no significant past medical problems. She initially had an uneventful early postoperative course but 3 weeks after surgery noticed pain and discharge from both nipple/areola area of both breasts which later developed into full-thickness fat necrosis and complete destruction of the nipple areolar complex. R. ornithinolytica, Escherichia coli and Enterococcus faecalis were identified from wound exudate cultures. She was treated with surgical debridement and 2 weeks of appropriate antibiotics with a favourable outcome.

Original languageEnglish (US)
Article number224234
JournalBMJ case reports
Volume2018
DOIs
StatePublished - 2018

Keywords

  • breast surgery
  • infectious diseases
  • plastic and reconstructive surgery

ASJC Scopus subject areas

  • Medicine(all)

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