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Bard M, Soize S, Thiriaux A, Legros V. Syndrome d’embolie graisseuse cérébrale post-traumatique. MEDECINE INTENSIVE REANIMATION 2018. [DOI: 10.3166/rea-2018-0038] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
Le syndrome d’embolie graisseuse post-traumatique symptomatique est une complication rare et grave de fracture des os longs ou de polytraumatisme. L’expression typique de ce syndrome est respiratoire, neurologique et cutanée, associée à un certain nombre d’anomalies biologiques, consécutives à la dissémination de particules graisseuses dans la circulation, l’évolution est la plupart du temps favorable sans séquelle.
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2
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Dahl V. Fettpartikler i blodet. TIDSSKRIFT FOR DEN NORSKE LEGEFORENING 2014; 134:1253. [DOI: 10.4045/tidsskr.14.0419] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/02/2022] Open
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3
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Abstract
Fat embolism syndrome is an often overlooked cause of breathlessness in trauma wards. Presenting in a wide range of clinical signs of varying severity, fat embolism is usually diagnosed by a physician who keeps a high degree of suspicion. The clinical background, chronology of symptoms and corroborative laboratory findings are instrumental in a diagnosis of fat embolism syndrome. There are a few diagnostic criteria which are helpful in making a diagnosis of fat embolism syndrome. Management is mainly prevention of fat embolism syndrome, and organ supportive care. Except in fulminant fat embolism syndrome, the prognosis is usually good.
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Affiliation(s)
- Jacob George
- Department of Respiratory Medicine, Pushpagiri Medical College, Thiruvalla, JLN Medical College, Ajmer, India
| | - Reeba George
- Department of Radio Diagnosis, Government Medical College, Trivandrum, India
| | - R. Dixit
- Department of Respiratory Medicine, Pushpagiri Medical College, Thiruvalla, JLN Medical College, Ajmer, India
| | - R. C. Gupta
- Department of Respiratory Medicine, Pushpagiri Medical College, Thiruvalla, JLN Medical College, Ajmer, India
| | - N. Gupta
- Department of Respiratory Medicine, Pushpagiri Medical College, Thiruvalla, JLN Medical College, Ajmer, India
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Sen RK, Tripathy SK, Krishnan V. Role of corticosteroid as a prophylactic measure in fat embolism syndrome: a literature review. Musculoskelet Surg 2012; 96:1-8. [PMID: 21773697 DOI: 10.1007/s12306-011-0156-1] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/17/2011] [Accepted: 07/02/2011] [Indexed: 02/05/2023]
Abstract
Despite a number of studies on steroid therapy as a prophylactic measure in fat embolism syndrome (FES), there is no universal agreement about its role in this critical situation. The present article attempts to search the available literature, and provides a more lucid picture to the readers on this issue. Seven articles (total 483 patients) were reviewed and analyzed. Total of 223 patients received steroid (methyl prednisolone sodium succinate), while the remaining 260 patients formed the control population. Among these subjects, 9 patients in steroid-receiving group and 60 patients in the control group developed FES (P < 0.05). The lack of uniformities in these studies, variable dose and single-center trial are the principal limitations and confuses the surgeons to have definite conclusion. Large-scale, more uniformly designed, multi-centered, randomized, prospective trials are needed to determine the correct situations and dosage in which steroids provide the maximum benefit (with the least possible risk).
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Affiliation(s)
- Ramesh K Sen
- Department of Orthopaedics, Postgraduate Institute of Medical Education and Research, Sector-12, Chandigarh, 160012, India
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5
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Decaminada N, Thaler M, Holler R, Salsa A, Ladiges C, Rammlmair G. Brain Fat Embolism. Neuroradiol J 2012; 25:193-9. [DOI: 10.1177/197140091202500207] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/27/2011] [Accepted: 03/26/2012] [Indexed: 01/31/2023] Open
Abstract
Fat embolism syndrome [FES] is an uncommon but serious complication of traumatic injures, which can follow a wide range of other surgical and medical conditions and can manifest with a collection of respiratory, hematological, neurological and cutaneous symptoms. FES should be suspected in all cases of traumatic injures with altered mental status following a period of normal neurological function, especially after orthopedic fixation of long bone fractures. Neurological symptoms must not be related to the initial trauma. The objective of this study was to describe the characteristics of FES and to correlate the neuroradiological findings with the clinical symptoms and the outcome of two cases of cerebral FES which occurred in two young men after bone fractures of the extremities without cranial traumatism. Both patients were studied by brain computed tomography (CT) and by brain magnetic resonance (MR). While Cerebral CT was inadequate to the diagnosis, Cerebral MR, performed 48 hours after injury, showed several focal areas of pathological signal in the white matter of the subcortical, periventricular and centrum semiovale regions, as well as in the basal ganglia and cerebellum. The neuroradiological findings of the two patients were compared with their clinical symptoms and outcome. The patient with the worst prognosis showed more lesions on MR and a restricted diffusion on DWI-MR, due to cytotoxic edema, whereas the patient with the better outcome showed lesions due to vasogenetic edema without any restricted diffusion. Cerebral MR and DW-MR are sensitive indicators for the early diagnosis of FES and can give a vast amount of information on the prognosis and future outcome.
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Affiliation(s)
- N. Decaminada
- Department of Radiology, Bressanone Hospital; Bressanone, BZ, Italy
| | - M. Thaler
- Department of Radiology, Bressanone Hospital; Bressanone, BZ, Italy
| | - R. Holler
- Department of Radiology, Bressanone Hospital; Bressanone, BZ, Italy
| | - A. Salsa
- Department of Radiology, Bressanone Hospital; Bressanone, BZ, Italy
| | - C. Ladiges
- Traumatology Care, Bressanone Hospital; Bressanone, BZ, Italy
| | - G. Rammlmair
- Intensive Care, Bressanone Hospital; Bressanone, BZ, Italy
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Gupta B, D’souza N, Sawhney C, Farooque K, Kumar A, Agrawal P, Misra MC. Analyzing fat embolism syndrome in trauma patients at AIIMS Apex Trauma Center, New Delhi, India. J Emerg Trauma Shock 2011; 4:337-41. [PMID: 21887021 PMCID: PMC3162700 DOI: 10.4103/0974-2700.83859] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/01/2010] [Accepted: 11/17/2010] [Indexed: 11/30/2022] Open
Abstract
BACKGROUND Fat embolism syndrome (FES) is a constellation of symptoms and signs subsequent to orthopedic trauma. MATERIALS AND METHODS The clinical profile of FES in the trauma population was studied over 2 years and 8 months. RESULTS The incidence of FES among all patients with long bone and pelvic fractures was 0.7% (12). The mean injury severity score was 10.37 (SD 1.69) (range 9-14). The diagnosis of FES was made by clinical and laboratory criteria. Hypoxia was the commonest presentation (92%). The average days of onset of symptoms were 3.5 (SD1.29) days. Management included ventilator support in 75%, average ventilator days being 7.8 (SD 4.08) days. The average ICU stay and hospital stay were 9.1 days and 29.7 days, respectively. A mortality of 8.3% (1) was observed. CONCLUSION Fat embolism remains a diagnosis of exclusion and is a clinical dilemma. Clinically apparent FES is unusual and needs high index of suspicion, especially in long bone and pelvic fractures.
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Affiliation(s)
- Babita Gupta
- Department of Anesthesia, Jai Prakash Narayan Apex Trauma Centre, AIIMS, New Delhi, India
| | - Nita D’souza
- Department of Anesthesia, Jai Prakash Narayan Apex Trauma Centre, AIIMS, New Delhi, India
| | - Chhavi Sawhney
- Department of Anesthesia, Jai Prakash Narayan Apex Trauma Centre, AIIMS, New Delhi, India
| | - Kamran Farooque
- Department of Orthopedics, Jai Prakash Narayan Apex Trauma Centre, AIIMS, New Delhi, India
| | - Ajeet Kumar
- Department of Anesthesia, Jai Prakash Narayan Apex Trauma Centre, AIIMS, New Delhi, India
| | - Pramendra Agrawal
- Department of Anesthesia, Jai Prakash Narayan Apex Trauma Centre, AIIMS, New Delhi, India
| | - M C Misra
- Department of Surgery, Jai Prakash Narayan Apex Trauma Centre, AIIMS, New Delhi, India
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Ketata W, Msaad S, Bahloul N, Marouen F, Ayoub A. [Intra-alveolar hemorrhage: rare presentation of fat pulmonary embolism]. Rev Mal Respir 2010; 27:1109-13. [PMID: 21111287 DOI: 10.1016/j.rmr.2010.09.016] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/26/2009] [Accepted: 03/16/2010] [Indexed: 11/28/2022]
Abstract
INTRODUCTION Fat embolism syndrome is a severe complication of long bone fractures, corresponding to the obstruction of small vessels by microdroplets of fat, originating from medulla ossium. Pulmonary involvement, present in 90% cases, makes the severity of the disease. CASE REPORT We report the case of a 22-year-old man who presented, two days after industrial accident causing an opened tibial fracture, acute dyspnea with hemoptysis. Angio-CT-scan didn't show any proximal vascular obstruction, but parenchymal sections showed diffuse, bilateral and multifocal hyperdensities predominating at the periphery. Broncho-alveolar lavage brought a hemorrhagic liquid, with a high macrophage content and lipid inclusions in macrophages. Exams for the etiologic diagnosis of intra-alveolar hemorrhage were negative: renal function, 24-hour proteinuria, antinuclear antibodies, antineutrophil cytoplasmic antibodies. The diagnosis of intra-alveolar hemorrhage secondary to fat embolism was established. The outcome was spontaneously favorable. CONCLUSION The occurrence of intra-alveolar hemorrhage in the course fat embolism is rarely reported. Its pathogenic mechanisms are not understood. It is mandatory to eliminate the other causes of alveolar hemorrhage before holding the diagnosis of fat embolism. Treatment is only symptomatic, based on respiratory reanimation.
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Affiliation(s)
- W Ketata
- Service de pneumo-allergologie, CHU Hédi Chaker, Sfax, Tunisie.
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8
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Successful Use of Inhaled Nitric Oxide in a Child With Fat Embolism Syndrome. ACTA ACUST UNITED AC 2010; 68:E80-2. [DOI: 10.1097/ta.0b013e31817dd6d2] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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9
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Mounir K, Chkoura K, Lalaoui SJ, Baité A, Safi L. [Prolonged coma after fat probable embolism]. ANNALES FRANCAISES D'ANESTHESIE ET DE REANIMATION 2008; 27:516-517. [PMID: 18565722 DOI: 10.1016/j.annfar.2008.04.017] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/26/2023]
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Loupy A, Laissy JP, Klein I, Bachir D, Bouadma L, Wolff M, Regnier B, Pease S. Fat emboli unleashed: an exceptional etiology of encephalitis in sickle cell disease. Ann Hematol 2008; 87:939-41. [DOI: 10.1007/s00277-008-0491-y] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/06/2008] [Accepted: 03/20/2008] [Indexed: 11/29/2022]
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Diconne E, Abdellaoui L, Lutz MF, Molliex S, Zeni F. À propos d'un cas d'embolie graisseuse pulmonaire différée post-ostéosynthèse vertébrale. ACTA ACUST UNITED AC 2006; 25:306-8. [PMID: 16426808 DOI: 10.1016/j.annfar.2005.10.029] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/31/2005] [Accepted: 10/23/2005] [Indexed: 11/25/2022]
Abstract
A 37-year-old woman presented an acute respiratory distress syndrome six days after a post-traumatic vertebral osteosynthesis. First, a pulmonary embolism was suspected, and a thrombolysis realised. This diagnosis was secondary excluded, and the diagnosis of probable fatty embolism was established by the bronchoalveolar lavage. So, this case shows a delayed presentation of fatty embolism and permits a discussion about clinical presentation, and diagnosis methods of such pathology.
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Affiliation(s)
- E Diconne
- Service de réanimation, hôpital Bellevue, CHU de Saint-Etienne, France.
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12
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Rothmann C, Ruschel N, Streiff R, Pitti R, Bollaert PE. Embolie graisseuse pulmonaire après liposuccion. ACTA ACUST UNITED AC 2006; 25:189-92. [PMID: 16269230 DOI: 10.1016/j.annfar.2005.07.084] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/30/2004] [Accepted: 07/26/2005] [Indexed: 11/25/2022]
Abstract
A 24-year-old woman undergoes buttock's liposuction as an outpatient procedure. As she went back home, progressive dyspnea, respiratory distress and collapse developed. At hospital admission, she was dyspneic with thoracic oppression, tachycardia and anguish. Chest X-ray and thoracic CT scan suggested a pulmonary localisation of fat emboli. Symptomatic treatment allowed complete recovery. This report discusses diagnosis of fat emboli after liposuction as well as epidemiology and physiopathology.
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Affiliation(s)
- C Rothmann
- Service d'Accueil des Urgences, CHR de Metz-Thionville, Hôpital Bon-Secours, 1, place P.-de-Vigneulles, 57038 Metz cedex, France.
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Filomeno LTB, Carelli CR, Silva NCLFD, Barros Filho TEPD, Amatuzzi MM. Embolia gordurosa: uma revisão para a prática ortopédica atual. ACTA ORTOPEDICA BRASILEIRA 2005. [DOI: 10.1590/s1413-78522005000400010] [Citation(s) in RCA: 15] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Abstract
A embolia gordurosa (EG) é a oclusão de pequenos vasos por gotículas de gordura, geralmente originadas nas fraturas do fêmur, tíbia e bacia, e nas artroplastias do joelho e quadril. Normalmente não causa danos aos órgãos atingidos, a menos que seja maciça. Em poucos casos a EG evolui para a "síndrome da embolia gordurosa" (SEG) a qual afeta principalmente os pulmões e o cérebro, embora qualquer órgão ou estrutura do organismo possa ser afetada. A gordura embolizada é hidrolizada pela lipase, originando os ácidos graxos livres (AGL) que agem toxicamente sobre o endotélio capilar e que intensificam a ação das integrinas as quais acentuam a adesividade dos neutrófilos às células endoteliais, facilitando a ação das enzimas proteolíticas dos lisossomas desses neutrófilos sobre o endótelio. O resultado dessas reações é a ruptura da rede capilar seguida de hemorragia e edema nos órgãos afetados. A SEG apresenta desde insuficiência respiratória e alterações neurológicas variadas até convulsões e coma profundo. O diagnóstico da SEG é puramente clínico, não existindo nenhum exame laboratorial que o confirme. Dentre os exames de imagens, apenas a ressonância magnética cerebral demonstra claramente as áreas do edema perivascular e dos infartos. O tratamento da EG com inúmeras drogas não apresentou resultados positivos; no entanto, a medida mais requisitada para a SEG é a assistência ventilatória. A mortalidade é quase de 100% nas formas fulminantes; aproximadamente de 20% nas formas sub-agudas e não há mortalidade na forma sub-clínica. Para prevenir a SEG é fundamental evitar o choque e a hipóxia desde a cena do acidente, e proceder à fixação precoce das fraturas, o que diminui a incidência de SARA e a mortalidade pós-trauma.
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Messant I, Ouardirhi Y, Vernet M, Lile A, Girard C. Embolie graisseuse après changement de prothèse de hanche avec conservation de la tige fémorale. ACTA ACUST UNITED AC 2003; 22:822-5. [PMID: 14612171 DOI: 10.1016/j.annfar.2003.07.002] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
Fat embolism is a known complication of traumatology, especially in long bone fractures. It may also occur in liposuction and articular surgery (0.1%). Fat embolic events are most often clinically insignificant and difficult to recognize since clinical manifestations are varied and there is no routine laboratory or radiographic diagnosis. Classically, fat embolism syndrome presents with the triad of pulmonary distress, mental status changes, and cutaneous manifestations. We report the case of a 33-year-old woman who developed acute respiratory distress 10 days after hip arthroplasty. Several aetiologies such as fibrinocruoric pulmonary embolism, pulmonary aspiration and bacterial pneumonia were discussed. Fat embolism was diagnosed, based on suggestive clinical manifestations, radiographic and laboratory findings, although fat embolism after hip arthroplasty without intramedullary pressurization is infrequent.
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Affiliation(s)
- I Messant
- Département d'anesthésie-réanimation, hôpital général, CHU de Dijon, 3, rue du Faubourg-Raines, BP 1519, 21033 Dijon, France.
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Leone M, Portier F, Antonini F, Chaumoître K, Albanèse J, Martin C. [Strategies diagnosis of polytraumatized adult patients with coma]. ANNALES FRANCAISES D'ANESTHESIE ET DE REANIMATION 2002; 21:50-66. [PMID: 11878125 DOI: 10.1016/s0750-7658(01)00550-0] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
OBJECTIVE To review the diagnostic strategy of management of multiple trauma patient during the first hours. DATA SOURCES Extraction from Pubmed database of French and English articles on the management of multiple trauma patient published for ten years. DATA SELECTION The collected articles were reviewed and selected according to their quality and originality. The more recent data were selected. DATA SYNTHESIS The first hours of management of multiple trauma patients are a particular challenge. The first dilemma is to drive the patient toward an adequate structure. In case of poor haemodynamic tolerance, the patient will be drive in the nearest hospital. When haemodynamic parameters are restored, multiple trauma patient has to be receive in a high level hospital by a trained medical team with an anesthesiologist, intensivist, neurosurgeon, general surgeon and radiologist. The initial assessment may have two priorities: quality and speed. The total body CT scan is actually the answer to these priorities.
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Affiliation(s)
- M Leone
- Département d'anesthésie-réanimation et centre de traumatologie, CHU Nord, bd P-Dramard, 13915 Marseille, France
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Ouedraogo N, Vincenti-Rouquette I, Niakara A, Nizou JY, Brinquin L. [Febrile coma and multiple organ failure: suspected hemoglobinopathy SC]. ANNALES FRANCAISES D'ANESTHESIE ET DE REANIMATION 2001; 20:289-93. [PMID: 11332064 DOI: 10.1016/s0750-7658(01)00363-x] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Abstract
We report the case of febrile fatal coma in a 51-year-old man from Burkina Faso. Magnetic resonance imaging (MRI) shows cerebral fat embolism. Haemoglobin electrophoresis shows probably haemoglobinopathy SC. A short review of the literature demonstrate the need to consider this complication in patients with neurological or respiratory disorders, in areas where this disease is highly prevalent, irrespective of age. It also emphasizes the diagnostic contribution of MRI and discusses the mechanism, the diagnosis as well as the difficulty of choosing the appropriate therapeutic course.
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Affiliation(s)
- N Ouedraogo
- Service de réanimation, centre hospitalier national universitaire Yalgado Ouedraogo, 03 BP 7022 Ouagadougou 03, Burkina Faso
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18
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Guartite A, al Harrar R, Haida F, Benyahia B, Abassi O. [Asphyxiating intra-alveolar hemorrhage: a rare form of fat embolism syndrome]. ANNALES FRANCAISES D'ANESTHESIE ET DE REANIMATION 1998; 17:743-6. [PMID: 9750814 DOI: 10.1016/s0750-7658(98)80113-5] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
We report a case of a 23-year-old patient admitted for a right femur fracture resulting from a traffic accident. An intra-alveolar haemorrhage occurred 48 hours later, with asphyxia anaemia, haematic bronchial aspirations, and bilateral alveolar opacities at chest X-ray. This symptomatology was associated with fever, sub-conjunctival petechiae, major hypocholesterolemia, deterioration of renal function, and cholestasis. All these features suggested a fat embolism. Other possible aetiologies were discarded because of normal cardiovascular and immunologic systems and absence of infection. The outcome under symptomatic treatment was satisfactory within 15 days. The occurrence of intra-alveolar haemorrhage in post-traumatic fat embolism is a rare event caused by pulmonary capillary obstruction by fat emboli.
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Affiliation(s)
- A Guartite
- Service des urgences chirurgicales, CHU Ibn Rochd, Casablanca, Maroc
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Wiel E, Fleyfel M, Onimus J, Godefroy O, Leclerc X, Adnet P. [Cerebral fat embolism after closed leg injury]. ANNALES FRANCAISES D'ANESTHESIE ET DE REANIMATION 1998; 16:970-3. [PMID: 9750647 DOI: 10.1016/s0750-7658(97)82147-8] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/08/2023]
Abstract
A 21-year-old man sustained a closed fracture of the leg from an industrial accident, without associated head trauma. The orthopaedic treatment consisted of immediate immobilization by setting leg in plaster. Two hours after admission, the Glasgow coma scale score was 10. Four hours after admission he developed a coma (Glasgow coma scale score = 7) with repetitive seizures. No lesion was visible on cerebral CT scan. Chest X-ray was unremarkable. Petechiae on the anterior chest wall and abdomen with bilateral mydriasis occurred. Thrombocytopenia with prothrombine time increase were observed. Magnetic resonance imaging, 27 hours after admission, showed high-intensity areas on T2 weighted views due to fat embolism. Retinal haemorrhages were observed. The bronchoalveolar lavage showing fat staining of tracheal aspirates confirmed the diagnosis of fat embolism. This case report emphasizes the possibility of predominant neurologic manifestations of a fat embolism and the diagnostic help of cerebral magnetic resonance imaging.
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Affiliation(s)
- E Wiel
- Service d'accueil des urgences, hôpital Roger-Salengro, CHRU Lille, France
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20
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Vincenti-Rouquette I, David H, Borne M, Debien B, Pats B. -The value of MRI in cerebral fat embolism-. ANNALES FRANCAISES D'ANESTHESIE ET DE REANIMATION 1998; 17:278-80. [PMID: 9750743 DOI: 10.1016/s0750-7658(98)80013-0] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
We report two clinical cases of cerebral fat embolism, thereby demonstrating the value of MRI.
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Affiliation(s)
- I Vincenti-Rouquette
- Service de réanimation, hôpital d'instruction des Armées du Val-de-Grâce, Paris, France
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