A
mum who went for a Brazilian 'bum-lift' to give her a new look died from an
ultra-rare flesh-eating bug, an inquest heard.
Jane
Kiiza went to a top Harley Street surgeon for the buttock enhancement after her
son - a Cambridge graduate - left home.
But
the 47-year-old became the first person in the UK to die from being infected
with the deadly pathogen during fat transfer surgery, an inquest heard.
The
bacteria, found in soil and ground water which can spread several centimetres
in an hour, tore through her body killing her just four days after the surgery,
the coroner was told.
The
IT consultant from Hampstead in North London is the first British casualty to
die from the procedure, which involves fat being taken from one part of the
body and then being injected into the buttocks.
Test
found no traces of the bacteria in the privately-run theatre or iodine supplies
at the Clementine Churchill Hospital.
Senior
Coroner Andrew Walker ruled her death was a result of complications from the
operation said:
"On
June 19 2015 Ms Kiiza had surgery. "On 22 June Ms Kiiza became unwell and
returned to the hospital where the surgery took place before being transferred
to another hospital where she died.
"I
would like to add my deepest sympathy to the members of the family."
Her
inquest at North London Coroners Court yesterday heard she first visited top
surgeon Dr Shailesh Vadodaria four weeks before to discuss liposuction and body
contouring operation.
Ugandan-born
Ms Kiiza, who was otherwise healthy, wanted something done with the fat on her
back, legs and stomach and said she knew of the risks.
During
surgery Dr Vadodaria removed fat from her abdomen, upper back, outer thighs and
flank and injected it into different places on her bottom inserting a total of
one and a quarter pints - 700ml.
She
was discharged the next day but just two days later texted him at 6.33am in
pain writing: "Please call me. I had a very rough night. Where do I come
to see you, the Clementine Churchill or Harley Street?"
Giving
evidence at her inquest, Dr Vadodaria said he "immediately" called
her back as he was "worried about pulmonary embolism."
 |
| Ms Kiiza’s surgeon, Shailesh Vadodaria |
As
it was "obviously an emergency situation" she was told to come to
Clementine Churchill Hospital's emergency care centre.
But
she was immediately transferred to the local NHS hospital Northwick Park
hospital where she was given antibiotics but then went into septic shock.
She
was rushed into theatre so surgeons cut out the infection but was unwell the
next day and another operation was planned. But before she could be prepared
she went into cardiac arrest and died.
Analysis
of swabs revealed the infection had been caused by the bacteria Pseudomonas
aeruginosa found in everything from soil to water and does not normally cause
an infection in healthy people, the inquest heard.
The
extremely rare flesh-eating infection was only found in Ms Kiiza's buttocks.
Dr
Vadodaria told her inquest: "I have never had any infection following fat
extraction or liposuction so I was surprised that it had happened and that it
had happened in the buttock area."
Consultant
emergency surgeon Mr Stuart Gould at Northwick Park said: "It is carried
in the nose, it's carried in the bowel, it's in the environment.
Despite
skin on both sides of her body being swabbed with iodine solution before the
operation Mr Gould said:
"The
risks are never completely removed."
Asked
why it didn't respond to antibiotics, he said:
"You
have to remove the source of the infection. Everything else is supportive.
"Although antibiotics can address the infection through the blood stream
it doesn't stop the source. "The spread of this is so rapid that the only
solution is to remove the source. It can spread several centimetres in an hour.
"It is so devastating that radical treatment is the only option."
He
added the infection was so rare he only found five published cases ever of it
occurring after liposuction and only one case after fat transfer in the whole
world.
He
confirmed it was the first British case he had found.
An
independent investigation undertaken by the Clementine Churchill found no cause
for concern in the surgery or the doctors looking after her.
"It
seems to me that in these circumstances, Ms Kiiza died from complications of
surgery."
No
member of Ms Kiiza's family attended the inquest but speaking outside the
court, Dr Vadodaria gave his sympathy to the family.
He
said: "It is the first time it has happened and I wish it doesn't happen
ever again to a patient or a surgeon."
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