[Unusual haemostasis disorder in a seriously burned patient].
We report the case of a woman severely burned during a gas explosion with an unusual disorder of haemostasis. The prothrombin time was very elevated, essentially by a drop in factor II. This abnormality persisted for a long time after the correction of the dilutional and consumption coagulopathy which followed immediately the burn. Blood analysis found fluindione and benzodiazepine derivatives. Such a disorder during a potentially suicidal burn must evoke a toxic aetiology.
Arnould
J-F
JF
Service d'anesthésie-réanimation chirurgicale de l'Hôtel-Dieu, CHRU de Nantes, 44093 Nantes cedex 01, France. jeanfrancois.arnould@chu-nantes.fr
Le Floch
R
R
Naux
E
E
Pilorget
A
A
Pinaud
M
M
D002056:Burns / Q000150:complications*; D017809:Fatal Outcome; D005260:Female; D020141:Hemostatic Disorders / Q000209:etiology*; D006801:Humans; D015601:Injury Severity Score; D008875:Middle Aged