{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,16]],"date-time":"2026-07-16T09:21:38Z","timestamp":1784193698725,"version":"3.55.0"},"reference-count":13,"publisher":"Oxford University Press (OUP)","issue":"3","license":[{"start":{"date-parts":[[2022,1,27]],"date-time":"2022-01-27T00:00:00Z","timestamp":1643241600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,5,17]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Burn injuries are a major cause of morbidity and mortality. Next to the inhalation injury, TBSA and age are strong predictors of mortality in burn victims. The novel coronavirus disease 2019 (COVID-19) pandemic is associated with a fatality rate of around 3.5%. We present a case of burn victim with full-thickness burn to face, scalp, both upper extremities (27% of TBSA), inhalation injury, and active severe acute respiratory syndrome coronavirus 2 infection with concomitant pneumonia. The inhalation injury in COVID-19 positive patient was severe. A bronchoscopy revealed a diffuse erythema of the trachea and both main bronchi, the whole bronchial tree up to the distal segments was covered with carbonaceous material which could not be removed. We decided to treat the inhalation injury according to the guidelines for burns and acute respiratory distress syndrome. Accordingly, the patient did not receive any antiviral drugs or corticosteroids. The reconstruction of a full-thickness scalp defect after burn presents a challenge in large size defects and in patients with comorbidities. Double layer Integra Dermal Regeneration Template (Integra LifeSciences, Plainsboro, New Jersey) was the reconstruction method of choice. The take of dermal template and split-thickness skin graft was 100% and good scalp contour was achieved. To our knowledge this is the first case report presenting a successful treatment outcome in a burn victim with inhalation injury, active severe acute respiratory syndrome coronavirus 2 infection, and concomitant pneumonia with full-thickness burn of 27% of TBSA.<\/jats:p>","DOI":"10.1093\/jbcr\/irac010","type":"journal-article","created":{"date-parts":[[2022,1,27]],"date-time":"2022-01-27T15:05:49Z","timestamp":1643295949000},"page":"749-752","source":"Crossref","is-referenced-by-count":3,"title":["Successful Outcome of Inhalation Injury, Active SARS-CoV-2 Infection, and Concomitant Pneumonia in a Patient With 27% Full-Thickness Burn: A Case Report"],"prefix":"10.1093","volume":"43","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1042-9372","authenticated-orcid":false,"given":"Katarina","family":"Zivec","sequence":"first","affiliation":[{"name":"Department of Plastic, Reconstructive and Aesthetic Surgery and Burns, University Medical Centre Ljubljana, Slovenia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tine","family":"Arnez","sequence":"additional","affiliation":[{"name":"Department of Plastic, Reconstructive and Aesthetic Surgery and Burns, University Medical Centre Ljubljana, Slovenia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Klemen","family":"Lovsin","sequence":"additional","affiliation":[{"name":"Department of Plastic, Reconstructive and Aesthetic Surgery and Burns, University Medical Centre Ljubljana, Slovenia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anja","family":"Kramaric","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Surgical Intensive Care Therapy, University Medical Centre Ljubljana, Slovenia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Primoz","family":"Gradisek","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Surgical Intensive Care Therapy, University Medical Centre Ljubljana, Slovenia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tomislav","family":"Mirkovic","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Surgical Intensive Care Therapy, University Medical Centre Ljubljana, Slovenia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2022,1,27]]},"reference":[{"key":"2022051722360116800_CIT0001","volume-title":"A WHO plan for burn prevention and care","author":"Mock","year":"2008"},{"key":"2022051722360116800_CIT0002","doi-asserted-by":"crossref","first-page":"e006184","DOI":"10.1136\/bmjopen-2014-006184","article-title":"A review of the international Burn Injury Database (iBID) for England and Wales: descriptive analysis of burn injuries 2003\u20132011","volume":"5","author":"Stylianou","year":"2015","journal-title":"BMJ Open"},{"key":"2022051722360116800_CIT0003","author":"American Burn 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probability of death after burn injuries: extending and updating the Baux score","volume":"68","author":"Osler","year":"2010","journal-title":"J Trauma"},{"key":"2022051722360116800_CIT0009","doi-asserted-by":"crossref","first-page":"155","DOI":"10.1007\/s15010-020-01401-y","article-title":"2019 novel coronavirus: where we are and what we know","volume":"48","author":"Cheng","year":"2020","journal-title":"Infection"},{"key":"2022051722360116800_CIT0010","doi-asserted-by":"crossref","first-page":"1018","DOI":"10.1097\/01.CCM.0000120059.94009.AD","article-title":"Airway pressure-time curve profile (stress index) detects tidal recruitment\/hyperinflation in experimental acute lung injury","volume":"32","author":"Grasso","year":"2004","journal-title":"Crit Care Med"},{"key":"2022051722360116800_CIT0011","doi-asserted-by":"crossref","first-page":"1773","DOI":"10.4187\/respcare.03410","article-title":"Respiratory mechanics in mechanically ventilated 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