A Case of 15% DB with a Soft Tissue Necrosis on Donor Site of STSG by Infection

DOI
  • Itoh Yusuke
    Department of Plastic and Reconstructive Surgery, Daiyukai Daiichi Hospital
  • Kobayashi Junki
    Department of Plastic and Reconstructive Surgery, Daiyukai Daiichi Hospital
  • Nakamura Mayuko
    Department of Plastic and Reconstructive Surgery, Daiyukai Daiichi Hospital
  • Kondo Chizuki
    Department of Plastic and Reconstructive Surgery, Daiyukai Daiichi Hospital
  • Yokoo Kazuhisa
    Department of Plastic and Reconstructive Surgery, Daiyukai Daiichi Hospital
  • Furukawa Hiroshi
    Department of Plastic and Reconstructive Surgery, Aichi Medical University

Bibliographic Information

Other Title
  • 分層採皮部が感染により深部までの壊死をきたしたⅢ度15％TBSA熱傷の１例

Description

<p> Soft tissue necrosis at an STSG donor site caused by infection is uncommon. We report a case of 68-year-old female patient with 15% TBSA flame burns on the face, neck, chest, and left arm. We performed debridement on days 8 and 22, and skin grafting from both thighs at the time of the second operation. After surgery, soft tissue necrosis developed at the recipient and donor sites caused by infection. Antimicrobial therapy and additional debridement of necrotic tissue were performed, but the infection could not be controlled. The patient died of septic shock and MOF on day 57.<br> Possible routes of transmission to donor site were contagion from burn wounds or hematogenous dissemination because of burn wound sepsis or catheter-related sepsis. To control the infection, it is necessary to debride necrotic tissue on both the recipient and donor sites.</p>

Journal

Keywords

Details 詳細情報について

  • CRID
    1390300533226838656
  • DOI
    10.34366/jburn.50.2_55
  • ISSN
    24351571
    0285113X
  • Text Lang
    ja
  • Data Source
    • JaLC
  • Abstract License Flag
    Disallowed

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