{
  "abstract": "Autologous fat grafting (AFG) is a popular breast augmentation procedure characterized by high patient satisfaction and low complication rates. Infectious complications are uncommon with this technique, and gram-positive organisms are the predominant pathogens responsible for most cases. We report a rare case of abscess formation due to Bacteroides fragilis infection occurring in the setting of presumed fat necrosis following AFG, as indicated by ultrasound imaging and plastic surgery evaluation. A 52-year-old woman developed a postoperative infection after AFG and abdominal liposuction despite receiving ciprofloxacin for prevention of infectious complications. Initial imaging suggested postsurgical changes, and she was treated with oral amoxicillin-clavulanate. She re-presented two weeks later with fever and worsening bilateral breast pain; repeat imaging revealed bilateral rim-enhancing fluid collections. Aspiration cultures grew Bacteroides fragilis. The patient initially improved with intravenous (IV) antibiotics followed by oral metronidazole; cefadroxil was additionally prescribed to provide empiric coverage for gram-positive organisms, given prior antibiotic exposure that may have affected culture results. However, the patient subsequently developed recurrent disease and ultimately required incision and drainage. This case highlights a rare anaerobic infection after AFG and emphasizes the need for early recognition and appropriate antimicrobial coverage.",
  "abstract_shown": true,
  "affiliations": [
    "Infectious Diseases, Donald & Barbara Zucker School of Medicine at Hofstra/Northwell, Manhasset, USA.",
    "Biochemistry, Stony Brook University, Stony Brook, USA."
  ],
  "article_type": null,
  "arxiv": null,
  "author_total": 5,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Nadiia Redmann"
    },
    {
      "affs": [
        1
      ],
      "name": "Shrikant K Goyal"
    },
    {
      "affs": [
        0
      ],
      "name": "Negin Niknam"
    },
    {
      "affs": [
        0
      ],
      "name": "Harika Kalangi"
    },
    {
      "affs": [
        0
      ],
      "name": "Assaf Holtzman"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/0rvcwknmfn4aq.bib",
  "cited_by": 0,
  "doi": "10.7759/cureus.116653",
  "fulltext_url": "https://europepmc.org/articles/PMC13686225",
  "id": "0rvcwknmfn4aq",
  "issns": [
    "2168-8184"
  ],
  "landing_url": "https://europepmc.org/article/MED/42910312",
  "language": "eng",
  "licence": "CC-BY",
  "licence_label": "CC BY",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "openalex",
      "2746|Breast Implant and Reconstruction"
    ]
  ],
  "openalex": "W7213891402",
  "pdf_url": "https://europepmc.org/articles/PMC13686225?pdf=render",
  "pmcid": "PMC13686225",
  "pmid": "42910312",
  "published": "2026-09-21",
  "publisher": null,
  "ris": "https://research.draconitic.com/paper/0rvcwknmfn4aq.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T12:20:14Z",
      "native_id": "MED:42910312",
      "source": "europepmc",
      "url": "https://europepmc.org/article/MED/42910312"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2746|Breast Implant and Reconstruction",
      "subfield": "surgery"
    }
  ],
  "title": "Bacteroides fragilis Abscess Associated With Fat Necrosis Following Breast Augmentation With Autologous Fat Grafting: A Case Report With Review of the Literature.",
  "title_text": "Bacteroides fragilis Abscess Associated With Fat Necrosis Following Breast Augmentation With Autologous Fat Grafting: A Case Report With Review of the Literature.",
  "type": "peer-reviewed",
  "updated_at": "2026-10-30T12:20:14Z",
  "url": "https://research.draconitic.com/paper/0rvcwknmfn4aq",
  "venue": "Cureus",
  "versions": []
}