A 16-Year-Old Male Patient With Severe Electrical Burns With Chronic and Recurrent Hospital-Acquired Opportunistic Infection With Carbapenem-Resistant Acinetobacter baumannii.
Jiawen Hong, Shengke Wang, Jimei Du et al.
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Case in brief
A 16-year-old male presented with severe electrical burns and was admitted to the ICU with impaired consciousness and recurrent fever. His condition was complicated by respiratory failure and gastrointestinal bleeding. During his 156-day hospitalization, he developed multiple skin lesions and was found to have carbapenem-resistant Acinetobacter baumannii (CRAB) infections. After extensive surgical interventions, he was discharged in stable condition.
What made this case unusual
The case highlights chronic and recurrent ICU-acquired infections with CRAB in a patient with severe electrical burns, emphasizing the challenges in managing such infections in this vulnerable population.
Diagnostic / clinical pearl
Clinicians should be vigilant for CRAB colonization and infection in patients with severe burns, particularly in ICU settings, to facilitate early intervention.
Why it matters
This case underscores the importance of strict infection control measures in burn units to prevent nosocomial infections, particularly with resistant organisms like CRAB.