2nd National Pediatric Burns Congress

PATIENT: 14 years old male child with a total of 40-50 % fire burn on his both forearms, legs and thorax was accepted to our Pediatric Burn ICU. Following first emergency management, his lesions was covered with %0.2 nitrofurazone embedded sterile gauzes. Ampicillin-sulbactam was started prophylactically. Dressisng changes was performed every two days. At the fifth day of his admission resistant high fevers began. No source of infection was found despite blood, urine or stool analyzes and respiratory system examination including a chest X-Ray. During the dressing change the appearance of burn lesions was noteworthy. There were gray to black spotted lesions over the surrounding intact areas and some over the epithelizing burn areas. Punch biyopsy was done over those spotted lesions. Histopathological examination revealed Aspergillosis. During debridements it is realised that the spotted lesions was higly bleeding and firmly attached to the underlying tissue. Interestingly, neihbouring intact skin was became perchment like and easily peeled. With the peeling of that skin lesions highly bleeding foci were appeared

CONCLUSION: In this poster, we aimed to call attention to the the visual apperance of burn wounds which are contaminated by aspergillus spp. and representing circularly discolored grey to black small points on the burn wound. Although there is only one documented case, depending on the other three well known cases the typcal appearance of the burn wound may be a sign of aspergillus contamination.

Anahtar Kelimeler: Aspergillus, Burns, Children, Surgery, Variconazole, Wound

 

Yanık Yarasının Benekli Görünümü: Aspergillus Kontaminasyonunun Bir İşareti Olabilir mi?