A case report of extremely severe 93% total body surface area burns in a 5-year-old boy

Y.-M. Wang, X.-Z. Liu, C.-J. Fan, Y.-D. Ma, G.-B. Huang

Department of Burns and Plastic Surgery, Central Hospital Affiliated to Shandong First Medical University, Jinan, Shandong, China. 201957020002@sdu.edu.cn

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• Emergency Medicine

BACKGROUND: Large surface area burns with concurrent severe burn sepsis are a rare phenomenon, particularly when the wounds are closed in a short timeframe.

CASE REPORT: This study describes a 5-year-old patient with 93% total body surface area (TBSA) burns and severe burn sepsis, who was managed through the use of a 54-day brickwork-mixed graft of self-allogeneic skin operation. The mechanisms of skin healing, in this case, are also discussed.

CONCLUSIONS: The brickwork-mixed graft of self-allogeneic skin may be an effective treatment option for patients with large surface area burns and severe burn sepsis. Further research is required to establish the generalizability of these findings. Early wound management and anti-infection measures are crucial in treating severe burns, and the clinical outcomes of the patient and the impact of the chosen treatment method on the patient’s recovery and prognosis should be assessed.

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