ACUTE RENAL FAILURE IN A CHILD WITH 5% CHEMICAL BURNS- A CASE REPORT

Burn injuries are major cause of morbidity and mortality in children. In India, one-fourth of the total burn cases occur in paediatric age group with scald burns and thermal burns being the common types of injury. The difference in the physiology of fluid and electrolyte handling, energy requirement and body proportions in children dictate that the paediatric burn management should be taken with a different perspective than for adults. Multisystem manifestations are commonly seen in cases with extensive burns. Acute renal failure is one of the major complications of burns and it carries high mortality rate. Most renal failures occur either immediately after the injury or as a late consequence of sepsis. The lowest percentage of chemical burns resulting in renal failure reported is above 10% of TBSA. We hereby present a case where renal failure was seen in a case with merely 5% of total body surface area associated with acute renal failure requiring haemodialysis.