A case of generalized body burns acquired during loss of consciousness in a sauna

Abstract

A 7X-year-old man was discovered unconscious while sitting in a sauna, without significant medical history. He was diagnosed with heat stroke-associated unconsciousness, convulsions, and epidermal burns on 71% of his body surface area, with superficial dermal burns on 11%. Although his general condition improved on day 14 of hospitalization ceased on day 14 of hospitalization, gangrene in the toes were gradually progressing. Amputation of the right 1st and 2nd toes, and all the left toes was performed. Also, bilateral patellar periosteal suturing followed by artificial dermal skin grafting, and negative pressure closure therapy for the ulcer on the right thigh were performed. The ulcer on the right patella was reconstructed using partial-thickness skin grafting. The cause of the amputation of the toes was likely the prolonged loss of consciousness due to full thickness burns to the nose and ears, attributable to prolonged contact with a hot sauna floor bearing his weight on both feet. And, this supportive sitting position likely contributed to ischemic complications. This case highlights the need to raise awareness about potential skin disorders arising in special environment of saunas.