ABSTRACT
A 9-day-old infant was found to have an undifferentiated pericardial sarcoma. Despite intensive surgery and chemotherapy, the child died of progressive disease. This is the first report to our knowledge of a primary pericardial sarcoma in a newborn.
Subject(s)
Heart Neoplasms/congenital , Pericardium , Sarcoma/congenital , Echocardiography , Female , Heart Neoplasms/pathology , Heart Neoplasms/therapy , Humans , Immunohistochemistry , Infant, Newborn , Microscopy, Electron , Sarcoma/pathology , Sarcoma/therapy , Tomography, X-Ray ComputedABSTRACT
Because of basic differences in pathophysiology, patients with electrical injury require therapeutic measures quite separate and distinct from patients with flame burns. Fluid requirements are much greater for the electrical-injured patient due to the depth of the injury and frequent occurrence of pigment in the urine. Fasciotomy with surgical exploration for determination of tissue viability is usually required in areas of obvious or questionable viability in patients with electrical injury. Sulfamylon is preferred for topical antibacterial therapy in electrical injury, because of its excellent penetration into deeper tissues. With this regimen of conservative surgical debridement of necrotic tissue, in many patients we have been able to salvage limbs and, in particular, preserve function.
