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CASE REPORT
Year : 2021  |  Volume : 5  |  Issue : 1  |  Page : 98-104

Hematological analysis of blood cells and isolation of pathogenic microorganisms from second-degree flame burn patient with the prevalence of multidrug resistance traits


1 Department of Microbiology, Stamford University Bangladesh, Dhaka, Bangladesh
2 Department of Biotechnology and Genetic Engineering, University of Development Alternative, Dhaka, Bangladesh
3 Department of Biochemistry and Molecular Biology, Mawlana Bhashani Science and Technology University, Tangail, Bangladesh

Correspondence Address:
Dr. Asif Shahriar
Department of Microbiology, Stamford University Bangladesh, 51 Siddeswari Road, Dhaka 1217
Bangladesh
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/bbrj.bbrj_173_20

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Burns are traumatic injuries that can occur in the home or workplace. It is a type of injury to flesh or skin caused by heat, electricity, chemicals, or radiation. The aims of this study to identified drug resistance traits of microorganisms, which is lead to wound infection after burn injury and causes hematological imbalanced of blood cells that are lead to the immune response against these pathogenic strains. The patient was burned by flame and seriously injured, with 24% tissue damaged. The whole blood was collected for complete blood count and peripheral blood film to analyze the components and morphological shape of blood cells. In addition, the wound samples were collected from wound infected sites to isolation and identification of microbial contamination as well as the study of antimicrobial susceptibility and resistance traits of microbes which are intensively involved in wound infection along with skin tissue damage. Among the complication period, the patient was seriously infected by pathogenic bacteria with viable bacterial count with log 107 colony-forming unit (CFU)/mL. The predominant pathogens were Escherichia coli, Klebsiella spp., Pseudomonas spp. and Staphylococcus spp. Most of the pathogens were found as drug-resistant, notably against second- and third-line antibiotics. The serious complication of microbial infection during the wound healing period was lead to increase white blood cells range along with terribly lower than the normal range of hemoglobin at 6.8 g/dl. Furthermore, the abnormal morphology of red blood cells was noted as an iron deficiency complication of the patient. Bacterial infection of the postburn patient is alarming for quick treatment. Most of the pathogens are rarely sensitive against most commercial antibiotics. Hence, bacterial colonization is the main threat for the burn-injured patient, which prohibits the immune response against in vivo infection.


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