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This case report details a young female with a severe burn and COVID-19 infection who experienced complications including Acinetobacter infection and hemodynamic instability, leading to a fatal outcome. Further research is needed on surgical timing for these complex cases.

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COVID-19burn injuriessurgical treatment

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Area of Science:

  • Medicine
  • Surgery
  • Infectious Diseases

Background:

  • Severe burn injuries present significant challenges, exacerbated by concurrent infections.
  • The COVID-19 pandemic introduced new complexities in managing critically ill patients, including those with extensive burns.

Purpose of the Study:

  • To report a case of a young female patient with a severe burn injury and COVID-19 infection.
  • To highlight the clinical course, complications, and management challenges.
  • To emphasize the need for evidence-based guidelines regarding surgical timing in such cases.

Main Methods:

  • Case report of a young female patient with 27% total body surface area (TBSA) burn and COVID-19.
  • Management included surgical excision, skin grafting with homotransplants, and antibiotic therapy for Acinetobacter spp. resistant to most antibiotics but sensitive to Colistin.
  • Clinical monitoring included vital signs, oxygen saturation, chest radiography, and wound assessment.

Main Results:

  • The patient developed Acinetobacter infection, requiring Colistin treatment.
  • Post-operative complications included sudden drop in oxygen saturation, hypotension, agitation, and hallucinations.
  • Massive pleural effusion and pneumonic foci were identified, leading to intubation and eventual death despite interventions.

Conclusions:

  • This case underscores the critical interplay between severe burns, COVID-19, and secondary infections.
  • Hemodynamic instability and respiratory compromise were significant challenges.
  • The optimal timing for surgical intervention in severely burned COVID-19 patients remains an open question requiring further investigation.