title: Management of a patient with small-area burns, severe sepsis and superficial vein thrombosis.
abstract: Sepsis is frequently seen in severely burned patients, however it is not common in those with small-area burns. We present a case of a 22-year-old man suffering from a hot crush injury to his left hand dorsum covering 1% of his total body surface area. The patient developed severe sepsis and superficial vein thrombosis, probably due to wound infection. Culture of the wound secretion indicated Corynebacterium striatum. Following intensive topical and systemic treatment the severe sepsis was controlled. The local wound was repaired by the abdominal skin pedicle flap which had taken well by day 27 post admission. A topical superficial vein thrombosis, unintentionally found 42 days after admission, was partially excised. This case demonstrates that when treating severe sepsis in patients with small-area burns, the timely recognition and diagnosis along with active systemic support, play a vital role in successful management.
  
  
  BACKGROUND
  None of the authors have any financial interest to declare.
authors: Attending Physician, Chief physician, Department of Burns, Second Affiliated Hospital of Zhejiang University College of Medicine, Hangzhou, China.
authors: H
authors: H
authors: Shao
authors: R
authors: R
authors: Luo
authors: X
authors: X
authors: Wang
authors: X
authors: X
authors: Pan
authors: G
authors: G
authors: Chen
mesh_terms: D000328:Adult; D001132:Arm / Q000098:blood supply*; D002056:Burns / Q000150:complications / Q000473:pathology / Q000628:therapy*; D006230:Hand Injuries / Q000150:complications / Q000473:pathology / Q000628:therapy*; D006801:Humans; D008297:Male; D018805:Sepsis / Q000150:complications / Q000473:pathology / Q000628:therapy*; D016038:Skin Transplantation; D013927:Thrombosis / Q000150:complications / Q000473:pathology / Q000628:therapy*; D014945:Wound Healing
keywords: Corynebacterium striatum; burns; procalcitonin; sepsis; thrombosis