Search

Your search keyword '"critical burns"' showing total 2 results
Start Over Descriptor "critical burns" Topic immunosuppression
2 results on '"critical burns"'

1. Trichoderma longibrachiatum and Aspergillus fischeri Infection as a Cause of Skin Graft Failure in a Patient with Critical Burns after Liver Transplantation.

Author

Lipový, Břetislav, Raška, Filip, Kocmanová, Iva, Hanslianová, Markéta, Hladík, Martin, Holoubek, Jakub, Bezdíček, Matěj, and Macháček, Ctirad

Subjects
*MORTALITY, *LIVER transplantation, *IMMUNOSUPPRESSION, *ASPERGILLUS, *DISEASES
Abstract

Infectious complications are responsible for the majority of mortalities and morbidities of patients with critical burns. Although bacteria are the predominant etiological agents in such patients, yeasts and fungi have become relatively common causes of infections over the last decade. Here, we report a case of a young man with critical burns on 88% TBSA (total body surface area) arising as a part of polytrauma. The patient’s history of orthotopic liver transplantation associated with the patient’s need to use combined immunosuppressant therapy was an additional complication. Due to deep burns in the forearm region, we have (after a suitable wound bed preparation) applied a new bi-layered dermal substitute. The patient, however, developed a combined fungal infection in the region of this dermal substitute caused by Trichoderma longibrachiatum and Aspergillus fischeri (the first case ever reported). The infection caused the loss of the split-thickness skin grafts (STSGs); we had to perform repeated hydrosurgical and mechanical debridement and a systemic antifungal treatment prior to re-application of the STSGs. The subsequent skin transplant was successful. [ABSTRACT FROM AUTHOR]

Published
2021
Full Text
View/download PDF

2. Trichoderma longibrachiatum and Aspergillus fischeri Infection as a Cause of Skin Graft Failure in a Patient with Critical Burns after Liver Transplantation

Author

Iva Kocmanová, Filip Raška, Martin Hladík, Jakub Holoubek, Markéta Hanslianová, Matěj Bezdíček, Ctirad Machacek, and Břetislav Lipový

Subjects
Microbiology (medical), medicine.medical_specialty, QH301-705.5, medicine.medical_treatment, Trichoderma longibrachiatum, Case Report, Plant Science, Liver transplantation, Trichoderma, 030207 dermatology & venereal diseases, 03 medical and health sciences, 0302 clinical medicine, Wound bed preparation, medicine, Biology (General), Ecology, Evolution, Behavior and Systematics, Debridement, critical burns, immunosuppression, liver transplantation, business.industry, 030208 emergency & critical care medicine, Immunosuppression, medicine.disease, Polytrauma, infection, 3. Good health, Surgery, Aspergillus, dermal substitute, Complication, business, Total body surface area
Abstract

Infectious complications are responsible for the majority of mortalities and morbidities of patients with critical burns. Although bacteria are the predominant etiological agents in such patients, yeasts and fungi have become relatively common causes of infections over the last decade. Here, we report a case of a young man with critical burns on 88% TBSA (total body surface area) arising as a part of polytrauma. The patient’s history of orthotopic liver transplantation associated with the patient’s need to use combined immunosuppressant therapy was an additional complication. Due to deep burns in the forearm region, we have (after a suitable wound bed preparation) applied a new bi-layered dermal substitute. The patient, however, developed a combined fungal infection in the region of this dermal substitute caused by Trichoderma longibrachiatum and Aspergillus fischeri (the first case ever reported). The infection caused the loss of the split-thickness skin grafts (STSGs); we had to perform repeated hydrosurgical and mechanical debridement and a systemic antifungal treatment prior to re-application of the STSGs. The subsequent skin transplant was successful.

Published
2021

Catalog

Books, media, physical & digital resources
See catalog results