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eISSN: 1643-3750

Successful treatment of a critical burn patient with obstinate hyperglycemia and septic shock from pan-drug-resistant strains

Shi-Chu Xiao, Shi-hui Zhu, Zhao-Fan Xia, Bing Ma, Da-sheng Cheng

Med Sci Monit 2009; 15(11): CS163-165

ID: 878226

Available online: 2009-10-19

Published: 2009-10-19


Background: The treatment of critical burn patients involves fluid resuscitation, homeostasis, prevention of infection, support and maintenance of organ functions, nutritional support, and wound repair. Correct management of these problems is a fierce challenge facing burn clinicians. This report presents a critical burn patient with obstinate hyperglycemia and septic shock from pan-drug-resistant strains.
Material and Method: A 41-year-old female with a 96% total body surface area (TBSA) burn developed a series of severe complications during the course of treatment, including rare obstinate hyperglycemia and septic shock from pan-drug-resistant Acinetobacter baumanii. Several aspects of the applied treatment are emphasized: an immediate effort to close the wound, the appropriate use of antibiotics, and the extraordinarily large amounts of insulin for intensive therapy to control blood sugar.
Results:
Conclusions: The critical burn patient developed a series of severe complications during the course of treatment. Correct management of these complications is crucial to success in the treatment of such patients.

Keywords: Hyperglycemia - drug therapy, Drug Resistance, Bacterial, Burns - therapy, Adult, Acinetobacter baumannii, Shock, Septic - microbiology



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