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

doi:10.23750/abm.v93iS1.9492

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

Authors

Mirco Pozzi University of Siena
Roberto Cuomo University of Siena
Francesco Ruben Giardino a:1:{s:5:"en_US";s:19:"University of Siena";}
Cesare Brandi University of Siena
Giuseppe Nisi University of Siena
Luca Grimaldi University of Siena

DOI: https://doi.org/10.23750/abm.v93iS1.9492

Keywords:

necrotizing fasciitis, beauty center, plantar callus, pedicure, anaerobes

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.

References

1. Altman LK , Microbe in salon footbath is suspected in boil outbreak. New York Times. April27 2001;sect A22

2. J.L. Garbaccio, A.C. Oliveira, A.O. de. Paula. The practice of hand hygiene among manicures and pedicures in Brazil Anitmicro Resist Infect Control, 2 (Suppl. 1) (2013), p. P133

3. F. Akter, J. Ibanez,Necrosis, gangrene, amputation: All from a manicure?,Journal of Plastic, Reconstructive & Aesthetic Surgery,Volume 68, Issue 1,2015, Pages e25-e26, ISSN 1748-6815

4. Sniezek PJ, Graham BS, Busch HB, et al. Rapidly Growing Mycobacterial Infections After Pedicures. Arch Dermatol. 2003;139(5):629–634. doi:10.1001/archderm.139.5.629

5. Veraldi, S., Nazzaro, G. & Çuka, E. Staphylococcus aureus infection of the feet following fish pedicure. Infection 42, 925–926 (2014). https://doi.org/10.1007/s15010-014-0622-4

6. Sugimoto, K., Frei, R. & Graber, P. Methicillin-resistant Staphylococcus aureus foot infection after fish pedicure. Infection 41, 1013–1015 (2013). https://doi.org/10.1007/s15010-013-0437-8

7. Cuomo R, Grimaldi L, Nisi G, Zerini I, Giardino FR, Brandi C. Ultraportable Devices for Negative Pressure Wound Therapy: First Comparative Analysis. J Invest Surg. 2019 May 27:1-9. doi: 10.1080/08941939.2019.1616009. [Epub ahead of print]

8. Cooksey RC, de Waard JH, Yakrus MA, Rivera I, Chopite M, Toney SR, et al. Mycobacterium cosmeticum sp. nov., a novel rapidly growing species isolated from a cosmetic infection and from a nail salon. International Journal of Systematic and Evolutionary Microbiology. 2004;54(6):2385-91.

9. Wertman R, Miller M, Groben P, Morrell DS, Culton DA. Mycobacterium bolletii/Mycobacterium massiliense Furunculosis Associated With Pedicure Footbaths: A Report of 3 Cases. Arch Dermatol. 2011;147(4):454–458. doi:10.1001/archdermatol.2011.58

10. Brown BA, Wallace RJ Jr. Infections due to nontuberculous mycobacteria. In: Mandell GL, Bennett JE, Dolan R, eds. Mandell, Douglas, and Bennett's principles and practice of infectious diseases. 5th ed. Vol. 2. Philadelphia: Churchill Livingstone, 2000:2630-6.

11. Zhubrak MS, Fisher TK, Armstrong DG. Pedal Pathology Potentiated by Personal Pedicure Procedures in the Presence of Painless Peripheral Neuropathy. Journal of the American Podiatric Medical Association. 2013;103(5):448-50.

12.Leiblein, M., Marzi, I., Sander, A.L. et al. Necrotizing fasciitis: treatment concepts and clinical
results. Eur J Trauma Emerg Surg 44, 279–290 (2018). https://doi.org/10.1007/s00068-017-0792-8

13.Lux L, Marshall J, Parker S, Collard S, Rogers B, Fuson S. Do Educational Interventions Targeted to Nail Salon Workers and Customers Improve Infection Control Practices in These Salons? Journal of the American Podiatric Medical Association. 2014;104(2):174-6.