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Journal Article

Citation

Roock SD, Deleuze JP, Rose T, Jennes S, Hantson P. J. Emerg. Trauma Shock 2012; 5(2): 178-180.

Affiliation

Burn Unit, Military Hospital, Université Catholique De Louvain, Cliniques St-Luc, Brussels, Belgium.

Copyright

(Copyright © 2012, INDO-US Emergency and Trauma Collaborative, Publisher Medknow Publications)

DOI

10.4103/0974-2700.96488

PMID

22787349

Abstract

Assault chemical burns are uncommon in northern Europe. Besides local toxicity, systemic manifestations are possible after strong acid exposure. A 40-year-old woman was admitted 1 h after a criminal assault with sulfuric acid. The total burned surface area was 35%, third degree. Injury was due to sulfuric acid (measured pH 0.9) obtained from a car battery. Immediate complications were obstructive dyspnea and metabolic acidosis. The admission arterial pH was 6.92, with total bicarbonate 8.6 mEq/l and base deficit 23.4 mEq/l. The correction of metabolic acidosis was achieved after several hours by the administration of bicarbonate and lactate buffers. The patient developed several burns-related complications (sepsis and acute renal failure). Cutaneous projections of strong acids may cause severe metabolic acidosis, particularly when copious irrigation and clothes removal cannot be immediately performed at the scene.


Language: en

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