Interleukin-8 is elevated in cerebrospinal fluid following high-voltage electrical injury with late-onset paraplegia suggesting neuronal damage at the microlevel as causative factor
The patient, a 31-year-old male, sustained an electric burn injury (16 kV, AC/DC) while working with electric power lines. He was acutely admitted to a national burn center in Southeast Sweden, where burns equalling 29% of the total body surface area were noted. The burns were located at the front o...
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| Published in: | Burns Vol. 36; no. 3; pp. e7 - e9 |
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01-05-2010
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| Abstract | The patient, a 31-year-old male, sustained an electric burn injury (16 kV, AC/DC) while working with electric power lines. He was acutely admitted to a national burn center in Southeast Sweden, where burns equalling 29% of the total body surface area were noted. The burns were located at the front of the abdomen, upper arms bilaterally, and the left hip region, and the lesions were estimated to be mainly of the dermal type, what was believed initially to be caused mainly by an electric flash. There were no obvious entry or exit sites of the electric current. However, myoglobin in plasma was elevated as a sign of muscular degradation, suggesting that at least some current had passed through the tissues. According to the paramedic report there was an episode of a few minutes of unconsciousness immediately after the injury, but the patient was fully awake and alert on admission. There was no concomitant trauma. |
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| AbstractList | The patient, a 31-year-old male, sustained an electric burn injury (16 kV, AC/DC) while working with electric power lines. He was acutely admitted to a national burn center in Southeast Sweden, where burns equalling 29% of the total body surface area were noted. The burns were located at the front of the abdomen, upper arms bilaterally, and the left hip region, and the lesions were estimated to be mainly of the dermal type, what was believed initially to be caused mainly by an electric flash. There were no obvious entry or exit sites of the electric current. However, myoglobin in plasma was elevated as a sign of muscular degradation, suggesting that at least some current had passed through the tissues. According to the paramedic report there was an episode of a few minutes of unconsciousness immediately after the injury, but the patient was fully awake and alert on admission. There was no concomitant trauma. |
| Author | Antepohl, W Sjöberg, F Thorfinn, J Dahle, C |
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| Cites_doi | 10.1093/ptj/67.2.206 10.1016/0305-4179(96)00040-X 10.1016/S0305-4179(98)90042-0 10.1227/00006123-198608000-00020 10.3109/02844317009038448 10.1016/S0305-4179(98)00193-4 10.1016/j.burns.2004.01.024 10.1111/j.1749-6632.1999.tb07950.x 10.1038/sc.1986.21 10.1097/00005373-198002000-00012 10.1016/j.burns.2004.03.007 |
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| References_xml | – volume: 25 start-page: 449 year: 1999 end-page: 452 ident: bib3 article-title: Spinal cord injury after electrical trauma treated in a burn unit publication-title: Burns contributor: fullname: Balseiro-Gómez – volume: 19 start-page: 282 year: 1986 end-page: 284 ident: bib5 article-title: Electrical injury to the central nervous system publication-title: Neurosurgery contributor: fullname: Parkin – volume: 14 start-page: 49 year: 1988 end-page: 50 ident: bib10 article-title: Paraplegia in an electrical burn: a case report publication-title: Burns contributor: fullname: Roberts – volume: 30 start-page: 603 year: 2004 end-page: 605 ident: bib12 article-title: Complete recovery following a high voltage electrical injury associated with delayed onset of quadriplegia and multiple cranial nerves dysfunction publication-title: Burns contributor: fullname: Kennedy – volume: 888 start-page: 131 year: 1999 end-page: 136 ident: bib8 article-title: High voltage electrical 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end-page: 695 ident: bib4 article-title: Delayed spinal cord injury following electrical burns: a 7-year experience publication-title: Burns contributor: fullname: Kim – volume: 4 start-page: 75 year: 1970 end-page: 82 ident: bib7 article-title: New observations on tissue changes along the pathway of the current in an electrical injury publication-title: Scand J Plast Reconstr Surg contributor: fullname: Olding – ident: 10.1016/j.burns.2008.11.012_bib1 – volume: 67 start-page: 206 year: 1987 ident: 10.1016/j.burns.2008.11.012_bib2 article-title: Inter-rater reliability of a modified Ashworth scale of muscle spasticity publication-title: Phys Ther doi: 10.1093/ptj/67.2.206 contributor: fullname: Bohannon – volume: 22 start-page: 574 issue: 7 year: 1996 ident: 10.1016/j.burns.2008.11.012_bib11 article-title: Neurological sequelae following a high voltage electrical burn publication-title: Burns doi: 10.1016/0305-4179(96)00040-X contributor: fullname: Ratnayake – volume: 14 start-page: 49 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secondary to high-voltage current, with recovery publication-title: J Trauma doi: 10.1097/00005373-198002000-00012 contributor: fullname: Christensen – volume: 30 start-page: 691 year: 2004 ident: 10.1016/j.burns.2008.11.012_bib4 article-title: Delayed spinal cord injury following electrical burns: a 7-year experience publication-title: Burns doi: 10.1016/j.burns.2004.03.007 contributor: fullname: Ko – ident: 10.1016/j.burns.2008.11.012_bib13 |
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| Snippet | The patient, a 31-year-old male, sustained an electric burn injury (16 kV, AC/DC) while working with electric power lines. He was acutely admitted to a... |
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| SubjectTerms | Accidents, Occupational Adult Biomarkers - cerebrospinal fluid Critical Care Electric Injuries - complications Follow-Up Studies Humans Interleukin-8 - cerebrospinal fluid Male MEDICIN MEDICINE Paraplegia - etiology Spinal Cord Injuries - etiology |
| Title | Interleukin-8 is elevated in cerebrospinal fluid following high-voltage electrical injury with late-onset paraplegia suggesting neuronal damage at the microlevel as causative factor |
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