Ekelius Lena, Fohlman Jan, Kalin Mats
Centrallasarettet, Växjö.
Lakartidningen. 2005;102(37):2560-2, 2564.
Mankind has a long history of body decoration and body piercing has now reached epidemic popularity within a large proportion of the population. Complications such as bleeding and local infection are common, but severe infections like septicaemia, endocarditis and transmission of hepatitis may occur. We describe a 39 year old man with genital piercing who spent 43 days hospitalized because of Foumier's gangrene with necrotizing fascitis starting in the genital tract and perineum. He developed septicaemia and disseminated intravascular coagulation. A young woman with breast implants got severe mastitis after piercing her mamills. People with immunodeficiency, heart valve abnormality and present or future artificial prosthesis or skin disease should be discouraged from piercing. Since many disorders are not diagnosed when the piercing takes place, general restriction is recommended. Medical risks and consequences of piercing, especially of mucosal surfaces and cartilage, should not be underestimated.
人类进行身体装饰的历史悠久，如今身体穿刺在很大一部分人群中已极为流行。出血和局部感染等并发症很常见，但也可能发生严重感染，如败血症、心内膜炎以及肝炎传播。我们描述了一名39岁的男性，他进行了生殖器穿刺，因福尼尔坏疽合并坏死性筋膜炎从生殖道和会阴开始发作，住院43天。他出现了败血症和弥散性血管内凝血。一名隆胸的年轻女性在乳头穿刺后患上了严重的乳腺炎。免疫功能低下、心脏瓣膜异常以及目前或将来有假体植入或皮肤病的人应被劝阻进行穿刺。由于许多疾病在穿刺时未被诊断出来，建议普遍加以限制。穿刺的医疗风险和后果，尤其是黏膜表面和软骨部位的，不应被低估。
