Abstract
BackgroundDilative cardiomyopathy is an uncommon cardiac complication of electric shock.Case presentationWe report a case of a 12-year-old German boy with a high voltage injury who developed a four-chamber dilative cardiomyopathy, which was diagnosed on the 13th week postburn. One year after the accident, echocardiography showed a normal function of his heart with 64% ejection fraction and normal cavities’ dimensions.ConclusionsDespite the fact that dilative cardiomyopathy is not very common in electrical injuries but can be fatal, a prolonged echocardiography follow-up for patients with electrical injury could be recommended. Until now this case is the first child with severe burns after electrocution, who developed a reversible dilative cardiomyopathy.
Highlights
Dilative cardiomyopathy is an uncommon cardiac complication of electric shock.Case presentation: We report a case of a 12-year-old German boy with a high voltage injury who developed a fourchamber dilative cardiomyopathy, which was diagnosed on the 13th week postburn
We report a case of a young boy with a high voltage injury who developed a reversible four-chamber Dilative cardiomyopathy (DCM)
The boy was intubated at the site of the accident and immediately admitted to our burn care unit with deep partial-thickness and full-thickness burns
Summary
Electrical burns typically comprise only a small percentage (approximately 3–4%) of total admissions to burn care units [1, 2] This type of injury is considered one of the most devastating injuries due to its high morbidity and mortality [3] and is the most frequent cause of amputations in a burn care unit [2]. We report a case of a young boy with a high voltage injury who developed a reversible four-chamber DCM. The boy was intubated at the site of the accident and immediately admitted to our burn care unit with deep partial-thickness and full-thickness burns He sustained a 70% total body surface area (TBSA) burn of the face, neck, spine, thorax, abdomen, both arms, and both legs (Fig. 1a–c).
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