High-voltage electrotrauma: Unmasking the threat of early anaerobic infection

Abstract

This paper highlights a critical issue regarding burn patients, especially those with electric burns at risk of developing anaerobic infections during early hospitalization. A 33-year-old male with polytrauma, including high-voltage electrotrauma, exemplifies the severity of such cases. Following a suicide attempt involving a fall from a power line pole, the patient underwent fasciotomy and necrectomy due to compartment syndrome. Despite early microbiological findings, he faced a significant risk of anaerobic infections. Early amputation of the right forearm was necessitated by Clostridium infections, followed by further amputation of the upper right and left forearms due to progressing necrosis. Skin autografting and gradual rehabilitation of fractures ensued, leading to the healing of amputation stumps and burns after three months of hospitalization. The case underscores the challenges posed by electric burns and the critical need for prompt and effective interventions to address anaerobic infections. Traditional wound care approaches must evolve to include advanced techniques like Quantitative Wound Biopsy (QWB) for accurate diagnosis and monitoring. This comprehensive protocol is essential in managing high-voltage electrotrauma, optimizing patient outcomes, and minimizing complications associated with such severe injuries.