A case of necrotizing fasciitis from a pedicure: when beauty centers become life-threatening.

Mirco Pozzi, Roberto Cuomo, Francesco Ruben Giardino, Cesare Brandi, Giuseppe Nisi, Luca Grimaldi
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Abstract

Introduction: in a historical moment where there is an increasing use of beauty center, we report a case of necrotizing fasciitis occurred after a pedicure, with the aim of clarifying the safety of these aesthetic treatments.

Case report: we discuss a case of left foot necrotizing fasciitis as consequence of removing a plantar callus. The patient is a 49 years old man; he is hypertensive, and diabetic not controlled. We report our experience showing the clinical manifestation and the tricky profile of the patient; then we reflect on the safety profiles of these aesthetic treatments.

Discussion: some bacterial infections of soft tissue after pedicure and manicure are reported in Literature. Mycobacteria seems to play a prevalent role, mostly after a peculiar practice of "fish pedicure". Our experience shows how the combination between a patient with complicated profile and poor hygienic measures can have catastrophic consequences.

Conclusion: the aim of this article is to raise awareness on the serious consequences that can arise from banal aesthetic procedures. Furthermore, we want to recommend more control over these treatments performed in Beauty Salon, considering the large turnout of people, even clinically sensitive.

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足疗引起的坏死性筋膜炎:美容中心会危及生命。
引言:在美容中心使用越来越多的历史时刻,我们报告了一例足疗后发生的坏死性筋膜炎,目的是阐明这些美容治疗的安全性。病例报告:我们讨论了一例左脚坏死性筋膜炎,原因是去除了足底骨痂。患者为49岁男性;他患有高血压,糖尿病得不到控制。我们报告了我们的经验,显示了患者的临床表现和棘手的情况;然后我们反思这些美学治疗的安全性。讨论:文献中报道了一些足疗和美甲后软组织的细菌感染。分枝杆菌似乎起着普遍的作用,主要是在一种特殊的“鱼蒂”做法之后。我们的经验表明,一个外形复杂的患者和糟糕的卫生措施相结合会产生灾难性的后果。结论:本文的目的是提高人们对平庸的审美程序可能产生的严重后果的认识。此外,考虑到人数众多,甚至对临床敏感,我们建议对美容院的这些治疗进行更多的控制。
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