Acute Renal Failure in A Child with 5% Chemical Burns-A Case Report

Abstract

Burn  injuries  are  major  cause  of  morbidity  and  mortality  in children.  In  India,  one-fourth  of  the  total  burn  cases  occur  in paediatric  age  group  with  scald  burns  and  thermal  burns  being the  common  types  of  injury.  The  difference  in  the  physiology  of fluid and  electrolyte  handling,  energy  requirement  and  body proportions    in    children    dictate    that    the    paediatric    burn management should be taken with a different perspective than for adults.  Multisystem  manifestations  are  commonly  seen  in  cases with  extensive  burns. Acute  renal  failure  is  one  of  the  major complications  of  burns  and  it  carries  high  mortality  rate.  Most renal failures occur either immediately after the injury or as a late consequence  of  sepsis.  The  lowest  percentage  of  chemical  burns resulting  in  renal  failure  reported  is  above  10%  of  TBSA.  We hereby present a case where renal failure was seen in a case with merely 5%  of  total  body  surface  area  associated  with  acute  renal failure requiring haemodialysis.