Lethal Necrotizing Cellulitis Caused by ESBL-Producing E. Coli after Laparoscopic Intestinal Vaginoplasty
SourceJournal of Pediatric and Adolescent Gynecology, 30, 1, (2017), pp. e19-e21
Article / Letter to editor
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Journal of Pediatric and Adolescent Gynecology
SubjectRadboudumc 15: Urological cancers RIHS: Radboud Institute for Health Sciences
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 beta-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.
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- Faculty of Medical Sciences 
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