A Case of Gasoline Chemical Injury with Low-Temperature Burn Caused by Black Rubber Boots

Abstract

 An 81-year-old man rolled down a slope with a crawler transporter during agricultural work under the scorching sun. His left lower leg was crushed under the car body in the prone position until he was rescued approximately 3 hours later. Gasoline contamination was observed on his pants and black rubber boots. He was transported to our hospital and hospitalized with a diagnosis of chemical burn on the left leg and heel（7%TBSA）, hypertonic dehydration, and rhabdomyolysis. Dehydration and rhabdomyolysis improved in a week by fluid treatment. The wound was washed and treated with ointment, and the lower leg was epithelialized in a month.
 However, the heel remained necrotic and was debrided 50 days after the injury, followed by reconstruction using a medial plantar flap. The postoperative course was uneventful. The photos taken by the fire department provided us detailed information of the injury circumstances, and the deep burn on his heel was considered to be a low-temperature burn due to wearing black rubber boots for a few hours under the scorching sun. This case emphasizes the importance of information sharing with emergency services in prehospital care.