2024 Volume 50 Issue 2 Pages 55-60
Soft tissue necrosis at an STSG donor site caused by infection is uncommon. We report a case of 68-year-old female patient with 15% TBSA flame burns on the face, neck, chest, and left arm. We performed debridement on days 8 and 22, and skin grafting from both thighs at the time of the second operation. After surgery, soft tissue necrosis developed at the recipient and donor sites caused by infection. Antimicrobial therapy and additional debridement of necrotic tissue were performed, but the infection could not be controlled. The patient died of septic shock and MOF on day 57.
Possible routes of transmission to donor site were contagion from burn wounds or hematogenous dissemination because of burn wound sepsis or catheter-related sepsis. To control the infection, it is necessary to debride necrotic tissue on both the recipient and donor sites.
