TOXIC SHOCK & SALINE IMPLANT

[Guest guest]

This is a repost, but worth repeating....this poor woman lost her legs and

part of her hands from getting the " safe " saline implant. I believe her

story is on Micheline's website.

Patty

From: ilena rose <ilena@...>

Sent: Thursday, April 15, 1999 9:31 AM

Subject: TOXIC SHOCK & SALINE IMPLANT

> Case Report Toxic Shock Syndrome as a Complication of Breast

> Prostheses Ann. Plast. Surg. Vol. 96, No. 7 1706 1995

>

> Patient, Age 21-Year-Old Female 1994

>

> History s/p bilateral augmentation mammaplasty,

>

> Presenting Symptoms On POD 6, vomiting, weakness, fever, rash

>

> PROSTHESIS TYPE SALINE

>

> Outcome Bilateral transmetacarpal amputations, bilateral below-knee

> amputations. (She improved after the removal of her legs and part of

> her hands).

>

> It goes on to say In 1988, Nordstrom et al. mentioned a case of

> Serratia marcescens infection of a tissue expander

> (saline type of implant) used for postmastectomy breast

> reconstruction. As in our patient, bacteria were cultured from both

> the periprosthetic fluid and the SALINE WITHIN THE IMPLANT. The exact

> relationship between bacteria inoculation within or about an implant

> and the origin of the infection remains a mystery.

>

> The ability of bacteria to traverse the membrane elastomer appears to

> hold the key to understanding this pathologic process. The

> permeability of silicone (saline) implants to substances or organisms

> occurs by means of two proposed mechanisms. Either a substance can

> diffuse directly though the membrane elastomer (as with ether,

> lidocaine, iodine, steroids, and certain antibiotics) or it must leak

> though holes in the membrane or fill ports.

>

>

[Guest guest]

This might help one of the ladies in our group...love....Lea

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~`````

TOXIC SHOCK & SALINE IMPLANT

> Many thanks to Alan for finding this.

>

>

> Case Report Toxic Shock Syndrome as a Complication of Breast

> Prostheses Ann. Plast. Surg. Vol. 96, No. 7 1706 1995

>

> Patient, Age 21-Year-Old Female 1994

>

> History s/p bilateral augmentation mammaplasty,

>

> Presenting Symptoms On POD 6, vomiting, weakness, fever, rash

>

> PROSTHESIS TYPE SALINE

>

> Outcome Bilateral transmetacarpal amputations, bilateral below-knee

> amputations. (She improved after the removal of her legs and part of

> her hands).

>

> It goes on to say In 1988, Nordstrom et al. mentioned a case of

> Serratia marcescens infection of a tissue expander

> (saline type of implant) used for postmastectomy breast

> reconstruction. As in our patient, bacteria were cultured from both

> the periprosthetic fluid and the SALINE WITHIN THE IMPLANT. The exact

> relationship between bacteria inoculation within or about an implant

> and the origin of the infection remains a mystery.

>

> The ability of bacteria to traverse the membrane elastomer appears to

> hold the key to understanding this pathologic process. The

> permeability of silicone (saline) implants to substances or organisms

> occurs by means of two proposed mechanisms. Either a substance can

> diffuse directly though the membrane elastomer (as with ether,

> lidocaine, iodine, steroids, and certain antibiotics) or it must leak

> though holes in the membrane or fill ports.

>

>

>