Document Detail


Basilar artery occlusion after multifactor coagulopathy including Rhizopus oryzae infection in burns.
MedLine Citation:
PMID:  20859211     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
The authors report a case of a 29-year-old male patient with severe burn injuries (54% TBSA) and inhalation injury. He developed a candidemia and a cutaneous zygomycotic superinfection with Rhizopus oryzae while he received burn intensive care. Despite aggressive surgery, sepsis persisted, and therapy was limited by uncontrollable coagulopathy and catecholamine refractory shock after 15 days. Autopsy revealed a thromboembolic occlusion of the basilar artery that resulted in liquefactive necrosis of the basal brain tissue and the brain stem. Because cerebral vessel occlusions after burn injuries are reported rarely, the current literature was reviewed, and possible pathophysiological aspects are discussed.
Authors:
Manuel F Struck; Till Illert; Dankwart Stiller; Michael Steen
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of burn care & research : official publication of the American Burn Association     Volume:  31     ISSN:  1559-0488     ISO Abbreviation:  J Burn Care Res     Publication Date:    2010 Nov-Dec
Date Detail:
Created Date:  2010-11-09     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101262774     Medline TA:  J Burn Care Res     Country:  United States    
Other Details:
Languages:  eng     Pagination:  955-8     Citation Subset:  IM    
Affiliation:
Department of Plastic and Hand Surgery, Burn Trauma Center, Bergmannstrost Hospital, Halle (Saale), Germany.
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