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class="elsevierStyleTextfn">Images in Intensive Medicine</span>" "titulo" => "Eczema herpeticum in a burned patient: Skin grafting failure and tracheobronchitis" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "623" "paginaFinal" => "625" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Yi-Teng Hung, Wei-Ti Chen" "autores" => array:2 [ 0 => array:3 [ "nombre" => "Yi-Teng" "apellidos" => "Hung" "referencia" => array:4 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] 2 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff0015" ] 3 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">d</span>" "identificador" => "aff0020" ] ] ] 1 => array:4 [ "nombre" => "Wei-Ti" "apellidos" => "Chen" "email" => array:1 [ 0 => "greatedisonchen@gmail.com" ] "referencia" => array:6 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] 2 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">d</span>" "identificador" => "aff0020" ] 3 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">e</span>" "identificador" => "aff0025" ] 4 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">f</span>" "identificador" => "aff0030" ] 5 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] ] "afiliaciones" => array:6 [ 0 => array:3 [ "entidad" => "Department of Dermatology, Chang Gung Memorial Hospital, Linkou, Taoyuan, Taiwan" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Drug Hypersensitivity Clinical and Research Center, Chang Gung Memorial Hospital, Linkou, Taoyuan, Taiwan" "etiqueta" => "b" "identificador" => "aff0010" ] 2 => array:3 [ "entidad" => "Department of Dermatology and Aesthetic Medicine Center, Jen Ai Hospital, Taichung, Taiwan" "etiqueta" => "c" "identificador" => "aff0015" ] 3 => array:3 [ "entidad" => "College of Medicine, Chang Gung University, Taoyuan, Taiwan" "etiqueta" => "d" "identificador" => "aff0020" ] 4 => array:3 [ "entidad" => "VNUS Dermatology Clinic, Taipei, Taiwan" "etiqueta" => "e" "identificador" => "aff0025" ] 5 => array:3 [ "entidad" => "Department of Dermatology, Ton-Yen General Hospital, Zhubei, Hsinchu, Taiwan" "etiqueta" => "f" "identificador" => "aff0030" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Eccema herpético en un paciente quemado: fracaso del injerto de piel y traqueobronquitis" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:6 [ "identificador" => "fig0015" "etiqueta" => "Figure 3" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr3.jpeg" "Alto" => 1384 "Ancho" => 1675 "Tamanyo" => 410519 ] ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 56-year-old man with extensive thermal burns received escharotomy and split-thickness skin grafting (STSG). Numerous punched-out ulcers with confluence developed on the donor sites of STSG and burn wounds on his face, neck, and trunk (Figs. <a class="elsevierStyleCrossRef" href="#fig0005">1</a> and <a class="elsevierStyleCrossRef" href="#fig0010">2</a>) 5 days following surgery. Multinucleated giant cells were present in Tzanck smear (<a class="elsevierStyleCrossRef" href="#fig0015">Fig. 3</a>) and herpes simplex virus (HSV) was identified by polymerase chain reaction from the ulcers. Anti-varicella zoster virus immunoglobulin (Ig) M antibody examination was negative. We diagnosed eczema herpeticum and administered intravenous acyclovir (500<span class="elsevierStyleHsp" style=""></span>mg every 8<span class="elsevierStyleHsp" style=""></span>h). Although the ulcers gradually healed after 1-month antiviral treatment, HSV tracheobronchitis and skin graft failure developed subsequently. Eczema herpeticum can cause delay wound healing, viremia, sepsis, multiple-organ failure, and mortality in burn patients.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><elsevierMultimedia ident="fig0015"></elsevierMultimedia><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Funding sources</span><p id="par0010" class="elsevierStylePara elsevierViewall">None declared.</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Competing interest statement</span><p id="par0015" class="elsevierStylePara elsevierViewall">None declared.</p></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Statement on contributorship and the guarantor</span><p id="par0020" class="elsevierStylePara elsevierViewall">All authors substantially contributed to the planning, drafting/revising and final approval of the article. Dr. Chen was responsible for the overall content as guarantor.</p></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0020">Declaration of patient consent</span><p id="par0025" class="elsevierStylePara elsevierViewall">The authors affirm that human research participants provided informed consent for publication of the images. The participant’s wife has consented to the submission of the case report to the journal. Patient’s wife signed informed consent regarding publishing their data and photographs.</p></span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0025">Institutional review board approval</span><p id="par0030" class="elsevierStylePara elsevierViewall">This study was approved by the Chang Gung Medical Foundation Institutional Review Board No. 202400194B0.</p></span><span id="sec0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0030">Declaration of generative AI in scientific writing</span><p id="par0035" class="elsevierStylePara elsevierViewall">None.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:7 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Funding sources" ] 1 => array:2 [ "identificador" => "sec0010" "titulo" => "Competing interest statement" ] 2 => array:2 [ "identificador" => "sec0015" "titulo" => "Statement on contributorship and the guarantor" ] 3 => array:2 [ "identificador" => "sec0020" "titulo" => "Declaration of patient consent" ] 4 => array:2 [ "identificador" => "sec0025" "titulo" => "Institutional review board approval" ] 5 => array:2 [ "identificador" => "sec0030" "titulo" => "Declaration of generative AI in scientific writing" ] 6 => array:2 [ "identificador" => "xack777227" "titulo" => "Acknowledgment" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "multimedia" => array:3 [ 0 => array:6 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 2008 "Ancho" => 1508 "Tamanyo" => 673553 ] ] ] 1 => array:6 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 1901 "Ancho" => 1508 "Tamanyo" => 637047 ] ] ] 2 => array:6 [ "identificador" => "fig0015" "etiqueta" => "Figure 3" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr3.jpeg" "Alto" => 1384 "Ancho" => 1675 "Tamanyo" => 410519 ] ] ] ] "agradecimientos" => array:1 [ 0 => array:4 [ "identificador" => "xack777227" "titulo" => "Acknowledgment" "texto" => "<p id="par0040" class="elsevierStylePara elsevierViewall">None.</p>" "vista" => "all" ] ] ] "idiomaDefecto" => "en" "url" => "/21735727/0000004800000010/v1_202409270531/S2173572724000432/v1_202409270531/en/main.assets" "Apartado" => array:4 [ "identificador" => "64602" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Images in Intensive Medicine" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/21735727/0000004800000010/v1_202409270531/S2173572724000432/v1_202409270531/en/main.pdf?idApp=WMIE&text.app=https://medintensiva.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173572724000432?idApp=WMIE" ]