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Frontiers in Medical Science Research, 2024, 6(3); doi: 10.25236/FMSR.2024.060301.

Successful treatment for a 90-year-old female with severe perineal and buttock burns and concomitant COVID-19 pneumonia: A case report and literature review

Author(s)

Ting He, Wei Liu, Dai An, Huageng Yuan, Chuan-an Shen

Corresponding Author:
Chuan-an Shen
Affiliation(s)

Department of Burns and Plastic Surgery, Burns Institute, The Fourth Medical Center of Chinese Peoples Liberation Army General Hospital, Haidian District, Beijing, 100048, China

Abstract

Elderly patients infected with the novel coronavirus disease 2019 (COVID-19) are prone to experience a severe or critical type with more serious and even life-threatening clinical manifestations which are difficult to manage. If the infected elderly patient sustains burns to anatomically special sites, the management will be demanding and stressful since the patients are at higher risk of developing severe complications such as infection, shock and multiple organ dysfunction. This report reviewed and analyzed the clinical manifestations, diagnosis and successful treatment of a 90-year-old female sustaining severe perineal and buttock burns with the comorbidity of COVID-19. A general principal, i.e., ‘care for COVID first while stabilizing burn-related conditions’ for treating patients of this kind is introduced and recommended.

Keywords

Burn; COVID-19; Pneumonia; Elderly

Cite This Paper

Ting He, Wei Liu, Dai An, Huageng Yuan, Chuan-an Shen. Successful treatment for a 90-year-old female with severe perineal and buttock burns and concomitant COVID-19 pneumonia: A case report and literature review. Frontiers in Medical Science Research (2024), Vol. 6, Issue 3: 1-5. https://doi.org/10.25236/FMSR.2024.060301.

References

[1] Bonanad C, García-Blas S, Tarazona-Santabalbina F, Sanchis J, Bertomeu-González V, Fácila L, et al. The Effect of Age on Mortality in Patients with COVID-19: A Meta-Analysis with 611,583 Subjects. J Am Med Dir Assoc. 2020; 21: 915-918. 

[2] Merchant N, Boudana D, Willoughby L, Lin J, Rehou S, Shahrokhi S, et al. Management of adult patients with buttock and perineal burns: The Ross Tilley Burn Centre experience. J Trauma Acute Care Surg. 2014; 77: 640-648. 

[3] Liu Y, Mao B, Liang S, Yang JW, Lu HW, Chai YH, et al. Association between age and clinical characteristics and outcomes of COVID-19. Eur Respir J. 2020; 55: 2001112.

[4] Li P, Chen L, Liu Z, Pan J, Zhou D, Wang H, et al. Clinical features and short-term outcomes of elderly patients with COVID-19. Int J Infect Dis. 2020; 97: 245-250. 

[5] Sadighi Akha AA. Aging and the immune system: An overview. J Immunol Methods. 2018; 463: 21-26. 

[6] Fink AL, Klein SL. Sex and Gender Impact Immune Responses to Vaccines among the Elderly. Physiology (Bethesda). 2015; 30: 408-416. 

[7] Ciarambino T, Para O, Giordano M. Immune system and COVID-19 by sex differences and age. Womens Health (Lond). 2021; 17: 17455065211022262. 

[8] Nikolich-Žugich J. The twilight of immunity: emerging concepts in aging of the immune system. Nat Immunol. 2018; 19: 10-19. 

[9] Jin YH, Zhan QY, Peng ZY, Ren XQ, Yin XT, Cai L, et al. Chemoprophylaxis, diagnosis, treatments, and discharge management of COVID-19: An evidence-based clinical practice guideline (updated version). Mil Med Res. 2020; 7: 41. 

[10] Franco AC, Aveleira C, Cavadas C. Skin senescence: mechanisms and impact on whole-body aging. Trends Mol Med. 2022; 28: 97-109. 

[11] Csekes E, Račková L. Skin Aging, Cellular Senescence and Natural Polyphenols. Int J Mol Sci. 2021; 22: 12641. 

[12] Zanganeh M, Keshavarzi A, Dahmardehei M, Ghadimi T, Abdalkhani A, Dehghani A. Skin Grafting Compared with Conservative Treatment in Patients with Deep Second-Degree Burn Wounds of the Trunk and Buttocks. World J Plast Surg. 2022; 11: 81-85.