Case

29 year-old No previous medical Chinese female, suffered 50% Body surface area burn after her clothes caught fire due to fire from a explosive devices during a filming in a movie set in Shanghai.

She was treated and stabilized at Shanghai hospital before transferred to Taiwan’s taipei Hospital.

She underwent 5 hrs of wound debridgement operation and noted that she suffered 3rd degree burn injury all her 4 limbs and at her back and buttock with minor burn at her face.

Currently she is treated at Burn unit ICU and latest news reported that she required dialysis due to kidney failure.

This a summary of medical history by a patient named Serina Yan who is a member of SHE (taiwan pop group)

The history is based on news reports therefore it is just for reference and by no mean the true account of the patient.

Based on the latest news,  its proves that Serina did suffered a very bad and serious injury. Contradicting news report and her broker company who give news which shows her steadily good progression.

The latest additional news reported that she was diagnosed with acute renal injury and persistent fever.

A quick googling and I found this piece of journal paper(published in 1999) on this subject.

The paper is based on retrospective study the files of 328 patients with burns >10% body surface area (BSA). They concluded that the development of renal failure had direct relation with the BSA and inhalation injury.

The paper also conclude 2 form of ARF, the early and the late ARF. The early ARF (< 5 days) is  assocaited with incidence of myoglobinuria and hypotension during the resuscitation and late ARF presented sepsis and may due to nephrotoxic antibiotics.