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Published on: July 6, 2013
Case report: cytomegalovirus primoinfection may be associated with severe outcome in burns
C Augris1, M Benyamina, F Rozenberg
1Burns Centre, Cochin Hospital, University Paris 5, Paris, France.
Abstract:
We report two cases of severe cytomegalovirus (CMV) primoinfection in seriously burned patients. The infection may have contributed to both patients' fatal outcome. This underlines the importance of research in viral aetiology, especially with regard to CMV, when immunodeficient patients - as burn patients are - develop unexplained fever. We propose a monitoring and a prevention strategy for CMV in the most severely burned patients. The prevention strategy involves the use of skin allografts and blood products in seronegative patients. CMV infection should not be underestimated in severely burned patients.
Insights
Severe cytomegalovirus (CMV) infection can be fatal in burn patients. Monitoring and prevention strategies, including using skin allografts and blood products for seronegative patients, are crucial for managing this risk.
Area of Science:
- Infectious Diseases
- Burn Medicine
- Virology
Background:
- Burn patients exhibit immunodeficiency, increasing susceptibility to opportunistic infections.
- Cytomegalovirus (CMV) is a potential pathogen in immunocompromised individuals.
- Unexplained fever in burn patients warrants investigation into viral etiologies like CMV.
Observation:
- Two cases of severe primary CMV infection were observed in critically burned patients.
- CMV infection was suspected as a contributing factor to the fatal outcomes in both cases.
Findings:
- Cytomegalovirus primoinfection poses a significant threat to severely burned patients.
- The viral infection may have played a role in the mortality of the reported cases.
Implications:
- Implementing CMV monitoring and prevention strategies is vital for high-risk burn patients.
- Prophylactic measures such as using CMV-screened skin allografts and blood products for seronegative patients are recommended.
- Early recognition and management of CMV are essential to improve outcomes in burn care.
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