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


METHODS
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.


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.
Department of Burn Surgery, Affiliated Changhai Hospital of the Second Military Medical University, Shanghai, China. huangzhuoxiao@sohu.com
Shi-Chu
SC
Xiao
Shi-hui
SH
Zhu
Zhao-Fan
ZF
Xia
Bing
B
Ma
Da-sheng
DS
Cheng
D040981:Acinetobacter baumannii; D000328:Adult; D002056:Burns / Q000150:complications* / Q000628:therapy*; D024881:Drug Resistance, Bacterial; D005260:Female; D006801:Humans; D006943:Hyperglycemia / Q000150:complications* / Q000188:drug therapy; D012772:Shock, Septic / Q000150:complications* / Q000188:drug therapy / Q000382:microbiology*