scholarly journals Delayed and fractional use of enzymatic debridement with Nexobrid for extensive burn injury: A Case report

Author(s):  
Manuel Held
2007 ◽  
Vol 22 (11) ◽  
pp. 2901-2902
Author(s):  
S. Anoop ◽  
S. Ajith Kumar ◽  
C.N. Dinesh ◽  
P. Reshmi ◽  
P.P. Balakrishnan

PEDIATRICS ◽  
1975 ◽  
Vol 56 (6) ◽  
pp. 1078-1079
Author(s):  
Abdul J. Khan ◽  
Hugh E. Evans ◽  
Marylu R. Macabuhay ◽  
Yu-En Lee ◽  
Robert Werner

Beta-hemolytic Streptococcus group G, a rare human pathogen, has long been implicated in human disease as causing pharyngitis, puerperal sepsis, empyema, and even septicemia. We are reporting a rare, life-threatening, acute illness, primary peritonitis, due to this organism, whose etiological source probably was a family dog. Case Report R.K., a 2-year-old girl, was admitted with the complaints of anorexia, vomiting of three days' duration, and severe abdominal distension of one day's duration. The symptoms started following a burn injury over the face and lips three days prior to admission. Past history was noncontributory. Physical examination revealed an ill child of average size, fully conscious.


2009 ◽  
Vol 2 (3) ◽  
pp. 229-233
Author(s):  
Benjamin Katholi ◽  
Nicole Soltys ◽  
Jennifer Schmidt ◽  
Jamee Heelan ◽  
Todd Kuiken ◽  
...  
Keyword(s):  

Author(s):  
Thomas Edward Pidgeon ◽  
Federica D’Asta ◽  
Malobi Ogboli ◽  
Yvonne Wilson

Abstract This case report describes the clinical course of a child who developed staphylococcal scalded skin syndrome (SSSS) after a burn injury. The intent is to aid other units in recognizing the presentation of SSSS after a pediatric burn and to optimize subsequent management. The main clinical finding was of rapid, progressive, superficial epidermal loss at sites separate from the original burn, involving 55% of the total body surface area, 13 days after a 6% scald burn to the face, neck, and chest. Diagnosis was confirmed by multidisciplinary team clinical assessment and histopathology of an intraoperative skin biopsy. This confirmed epidermal cleavage at the granular cell layer. These findings were later supported by Staphylococcus aureus cultured from the burn wound, and a positive epidermolytic toxin A assay. Management was with general medical supportive care, clindamycin and flucloxacillin intravenous antibiotic therapy, and cleansing and dressing of the areas of epidermal loss. Key learning points from this case were that SSSS presented after a burn injury and that 13 days elapsed between the burn and SSSS. Factors differentiating it from toxic epidermal necrolysis are described, including the value of histopathology in confirming the diagnosis. The prompt use of antibiotics and attentive wound care are advocated as an effective management strategy.


Burns Open ◽  
2020 ◽  
Vol 4 (1) ◽  
pp. 28-30 ◽  
Author(s):  
Hideki Asai ◽  
Naoki Maegawa ◽  
Yasuyuki Urisono ◽  
Yasuyuki Kawai ◽  
Akinori Okuda ◽  
...  

Author(s):  
Madeleine Jacques ◽  
Sonia Tran ◽  
Monique Bertinetti ◽  
Andrew J A Holland

Abstract Domestic superglue (cyanoacrylate) in the hands of children can have devastating consequences, especially when cotton clothing is involved. When cotton comes into contact with cyanoacrylate, an intense exothermic reaction occurs, creating temperatures high enough to cause significant thermal injury. A literature review found 16 such cases of burns documented (2 adult and 14 pediatric). This article presents a case report of a 4-year-old child sustaining a full-thickness burn injury to her leg requiring skin grafting when superglue was spilt onto cotton pants. She was sitting near a fan heater at the time. An experiment was conducted to replicate the exothermic reaction between superglue and cotton and to determine if the addition of radiant heat would have any significant effect. The maximum temperature reached with one 3-g tube of superglue onto cotton pyjamas was 91°C (196°F) and occurred approximately 90 seconds postapplication. It took more than 3 minutes for the temperature to cool below 40°C (104°F). The addition of radiant heat from a fan heater placed 60 cm from the clothing found that the temperature peak was similarly reached and cooled, but the temperature did not reduce below 52°C (126°F) for over 20 minutes, proving that potential harm may be amplified if first aid is not appropriately sought. Product labeling and the knowledge of potential harm from such mechanism of injury remain inadequate. It is hoped that the reporting of this case contributes to an increase in public education and awareness of such dangers and may contribute to preventing avoidable future incidences.


Author(s):  
Mohamed Y H Abdelrahman ◽  
Khansa Osman ◽  
Alwaleed Mohd Alamin ◽  
Ali Idris Abubakr
Keyword(s):  

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