Acute concentrated phenol dermal burns: Complications and management

Tapan Jayantilal Parikh

doi:10.4103/0972-5229.156481

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Acute concentrated phenol dermal burns: Complications and management

Tapan Jayantilal Parikh

Keywords : Acute respiratory distress syndrome, phenol burns, protein denaturation, renal failure

Citation Information : Parikh TJ. Acute concentrated phenol dermal burns: Complications and management. Indian J Crit Care Med 2015; 19 (5):280-282.

DOI: 10.4103/0972-5229.156481

License: CC BY-ND 3.0

Published Online: 01-05-2015

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Abstract

Phenol burns can result in multiple organ failure. This is a case report of acute severe phenol dermal burn after accidental splash of 94% phenol on 35-year-old patient′s body who was brought to hospital after 90 min of exposure. Decontamination was done with high-density water and glycerol. Early complications in form of metabolic acidosis and acute renal failure required hemodialysis. Extensive protein denaturation was managed with IV albumin and high protein diet. Patient also developed pleural effusion and acute respiratory distress syndrome, but these were successfully managed by intercostal drain tube insertion and noninvasive ventilation. The patient survived after multiple organ failures and widespread burns despite the fact that it has been observed that outcome of phenol burns with >60 ² inches of skin affected or two or more organs failure involving renal system is nearly fatal.

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