PMID: 9426917Aug 1, 1997Paper

Fatal rhabdomyolysis in a flame burn patient

Burns : Journal of the International Society for Burn Injuries
D Lazarus, D A Hudson

Abstract

Rhabdomyolysis due to flame burns is not well described. A case of fatal rhabdomyolysis in an epileptic patient who sustained 65 per cent body surface area, very deep, flame burns is described. It appears as if the sustained muscle compression from the restrictive, circumferential eschar was the major factor in the aetiology of the rhabdomyolysis. Despite aggressive fluid management, the patient died of acute renal failure and adult respiratory distress syndrome. We have subsequently identified three other cases of pigmenturia occurring following burns. It would seem as if rhabdomyolysis following extensive full thickness burns may be more common than previously suggested. Fluid requirements are in excess of those proposed by traditional protocols. Rhabdomyolysis in flame burn patients indicates a poor prognosis.

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Citations

May 9, 2002·The Journal of Small Animal Practice·J J Haburjak, W L Spangler
Aug 3, 2014·The Surgical Clinics of North America·Shawn P FaganJeremy Goverman
Feb 5, 1999·The Journal of Trauma·M T ChrysopouloD N Herndon
Oct 23, 2010·Burns : Journal of the International Society for Burn Injuries·Peter L StollwerckFrank Siemers
May 15, 2007·Burns : Journal of the International Society for Burn Injuries·A PiatkowskiN Pallua
Dec 2, 2015·Burns : Journal of the International Society for Burn Injuries·Ilkka HelanteräMika Gissler
Dec 31, 2005·Burns : Journal of the International Society for Burn Injuries·Michael P Hutchens, Maxwell Weinmann
Jan 10, 2008·Journal of Burn Care & Research : Official Publication of the American Burn Association·Kukka-Maaria Mustonen, Jyrki Vuola
Jan 25, 2020·Annals of Plastic Surgery·Bien-Keem TanHan Khim Tan
Feb 5, 2000·Neurologic Clinics·W S David
Jun 28, 2011·Burns : Journal of the International Society for Burn Injuries·Sarah E BacheCharlotte Gilhooly

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