Fat embolism syndrome in long bone fractures, case report
Introduction: Fat embolism syndrome is a severe, although rare complication of major trauma. It is triggered by the passage of fat particles into the microcirculation in various organs. The characteristic triad: lung injury, petechial hemorrhage and neurological dysfunction. Its prevalence varies ac...
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author | Martínez-Burbano , Braulio |
author2 | Caiza-Zambrano, Francisco |
author2_role | author |
author_facet | Martínez-Burbano , Braulio Caiza-Zambrano, Francisco |
author_role | author |
collection | Revista Ciencias Médicas |
dc.creator.none.fl_str_mv | Martínez-Burbano , Braulio Caiza-Zambrano, Francisco |
dc.date.none.fl_str_mv | 2022-01-01 |
dc.format.none.fl_str_mv | application/pdf |
dc.identifier.none.fl_str_mv | https://revistadigital.uce.edu.ec/index.php/CIENCIAS_MEDICAS/article/view/3372 10.29166/rfcmq.v47i2.3372 |
dc.language.none.fl_str_mv | spa |
dc.publisher.none.fl_str_mv | Quito: Universidad Central del Ecuador |
dc.relation.none.fl_str_mv | https://revistadigital.uce.edu.ec/index.php/CIENCIAS_MEDICAS/article/view/3372/6603 |
dc.rights.none.fl_str_mv | Derechos de autor 2022 Braulio Martínez Burbano, Francisco Caiza http://creativecommons.org/licenses/by-nc-nd/4.0 info:eu-repo/semantics/openAccess |
dc.source.none.fl_str_mv | Revista de la Facultad de Ciencias Médicas (Quito); Vol. 47 No. 2 (2022): Revista de la Facultad de Ciencias Médicas (Quito); 31 - 38 Revista de la Facultad de Ciencias Médicas (Quito); Vol. 47 Núm. 2 (2022): Revista de la Facultad de Ciencias Médicas (Quito); 31 - 38 2737-6141 2588-0691 reponame:Revista Ciencias Médicas instname:Universidad Central del Ecuador instacron:UCE |
dc.subject.none.fl_str_mv | Fracturas de huesos Lesión pulmonar reporte de caso Crisis convulsivas Embolia grasa Lung injury Embolism, fat Fractures, bone seizures case report |
dc.title.none.fl_str_mv | Fat embolism syndrome in long bone fractures, case report Síndrome de embolismo graso en fractura de huesos largos, reporte de caso |
dc.type.none.fl_str_mv | info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Artículo evaluado por pares |
description | Introduction: Fat embolism syndrome is a severe, although rare complication of major trauma. It is triggered by the passage of fat particles into the microcirculation in various organs. The characteristic triad: lung injury, petechial hemorrhage and neurological dysfunction. Its prevalence varies according to the diagnostic criteria and the triggering cause, making its early detection difficult. Case presentation: Case 1. Patient 22 years old, male, suffered a car accident with open fracture of the right femur, tibia and fibula, surgically resolved, 5 hours after the event he suffered respiratory impairment, conjunctival, thoracic and extremity petechiae; later impaired consciousness, status epilepticus and paroxysmal sympathetic hyperactivity syndrome. Case 2. Patient 29 years old, male, suffered overturning of the vehicle in which he was traveling, suffering closed fractures of the left tibia, fibula and femur, after trauma surgery he suffered impaired consciousness, conjunctival petechiae and hypoxemia. Diagnoses and interventions: Both patients underwent surgery for trauma resolution within 24 hours, after the appearance of neurological symptoms they underwent neuroimaging finding "star field" pattern, both received corticosteroids. Results: Case 1 the outcome was vegetative state, Case 2 complete recovery. Conclusion: Detection is essential to establish early treatment, to plan trauma surgery or to defer it and to estimate prognosis according to evolution. Cerebral fat embolism syndrome is a rare cause of paroxysmal sympathetic hyperactivity syndrome. |
eu_rights_str_mv | openAccess |
format | article |
id | REVCMED_01238f97d0fffbe272ebde44e7bea90f |
identifier_str_mv | 10.29166/rfcmq.v47i2.3372 |
instacron_str | UCE |
institution | UCE |
instname_str | Universidad Central del Ecuador |
language | spa |
network_acronym_str | REVCMED |
network_name_str | Revista Ciencias Médicas |
oai_identifier_str | oai:revistadigital.uce.edu.ec:article/3372 |
publishDate | 2022 |
publisher.none.fl_str_mv | Quito: Universidad Central del Ecuador |
reponame_str | Revista Ciencias Médicas |
repository.mail.fl_str_mv | * |
repository.name.fl_str_mv | Revista Ciencias Médicas - Universidad Central del Ecuador |
repository_id_str | * |
rights_invalid_str_mv | Derechos de autor 2022 Braulio Martínez Burbano, Francisco Caiza http://creativecommons.org/licenses/by-nc-nd/4.0 |
spelling | Fat embolism syndrome in long bone fractures, case reportSíndrome de embolismo graso en fractura de huesos largos, reporte de casoMartínez-Burbano , BraulioCaiza-Zambrano, FranciscoFracturas de huesosLesión pulmonarreporte de casoCrisis convulsivasEmbolia grasaLung injuryEmbolism, fatFractures, boneseizurescase reportIntroduction: Fat embolism syndrome is a severe, although rare complication of major trauma. It is triggered by the passage of fat particles into the microcirculation in various organs. The characteristic triad: lung injury, petechial hemorrhage and neurological dysfunction. Its prevalence varies according to the diagnostic criteria and the triggering cause, making its early detection difficult. Case presentation: Case 1. Patient 22 years old, male, suffered a car accident with open fracture of the right femur, tibia and fibula, surgically resolved, 5 hours after the event he suffered respiratory impairment, conjunctival, thoracic and extremity petechiae; later impaired consciousness, status epilepticus and paroxysmal sympathetic hyperactivity syndrome. Case 2. Patient 29 years old, male, suffered overturning of the vehicle in which he was traveling, suffering closed fractures of the left tibia, fibula and femur, after trauma surgery he suffered impaired consciousness, conjunctival petechiae and hypoxemia. Diagnoses and interventions: Both patients underwent surgery for trauma resolution within 24 hours, after the appearance of neurological symptoms they underwent neuroimaging finding "star field" pattern, both received corticosteroids. Results: Case 1 the outcome was vegetative state, Case 2 complete recovery. Conclusion: Detection is essential to establish early treatment, to plan trauma surgery or to defer it and to estimate prognosis according to evolution. Cerebral fat embolism syndrome is a rare cause of paroxysmal sympathetic hyperactivity syndrome.Introducción: El síndrome de embolismo graso es una complicación severa, aunque poco frecuente de trauma grave. Es desencadenado por el paso de partículas de grasa hacia la microcirculación en varios órganos. La tríada característica: lesión pulmonar, hemorragia petequial y disfunción neurológica. Su prevalencia varía según los criterios diagnósticos y la causa desencadenante, dificultando su detección temprana. Presentación del caso: Caso 1. Paciente 22 años, masculino, sufrió accidente automovilístico con fracturas abierta de fémur, tibia y peroné derechos, resueltas quirúrgicamente, a las 5 horas del evento sufre deterioro respiratorio, petequias conjuntivales, torácicas y en extremidades; posteriormente deterioro de conciencia, estatus epiléptico y síndrome de hiperactividad simpática paroxística. Caso 2. Paciente 29 años, masculino, sufrió volcamiento del vehículo en el que viajaba, sufriendo fracturas cerradas de tibia, peroné y fémur izquierdas, luego de la cirugía traumatológica sufrió deterioro del estado de conciencia, petequias conjuntivales e hipoxemia. Diagnósticos e intervenciones: los dos pacientes fueron operados para resolución traumatológica dentro de las primeras 24 horas, luego del aparecimiento de síntomas neurológicos se sometieron a neuroimagen encontrándose el patrón de “campo de estrellas” y recibieron corticoides. Resultados: Caso 1 el desenlace fue estado vegetativo, Caso 2 recuperación completa. Conclusión: La detección es imprescindible para establecer el tratamiento temprano, planificar la cirugía traumatológica o diferirla y estimar el pronóstico según la evolución. El síndrome de embolia grasa cerebral es una causa rara del síndrome de hiperactividad simpática paroxística.Quito: Universidad Central del Ecuador2022-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionArtículo evaluado por paresapplication/pdfhttps://revistadigital.uce.edu.ec/index.php/CIENCIAS_MEDICAS/article/view/337210.29166/rfcmq.v47i2.3372Revista de la Facultad de Ciencias Médicas (Quito); Vol. 47 No. 2 (2022): Revista de la Facultad de Ciencias Médicas (Quito); 31 - 38Revista de la Facultad de Ciencias Médicas (Quito); Vol. 47 Núm. 2 (2022): Revista de la Facultad de Ciencias Médicas (Quito); 31 - 382737-61412588-0691reponame:Revista Ciencias Médicasinstname:Universidad Central del Ecuadorinstacron:UCEspahttps://revistadigital.uce.edu.ec/index.php/CIENCIAS_MEDICAS/article/view/3372/6603Derechos de autor 2022 Braulio Martínez Burbano, Francisco Caizahttp://creativecommons.org/licenses/by-nc-nd/4.0info:eu-repo/semantics/openAccess2023-09-15T14:46:51Zoai:revistadigital.uce.edu.ec:article/3372Portal de revistashttps://revistadigital.uce.edu.ec/Universidad públicahttps://uce.edu.ec/**Ecuador*2737-61412588-0691opendoar:*2023-09-15T14:46:51Revista Ciencias Médicas - Universidad Central del Ecuadorfalse |
spellingShingle | Fat embolism syndrome in long bone fractures, case report Martínez-Burbano , Braulio Fracturas de huesos Lesión pulmonar reporte de caso Crisis convulsivas Embolia grasa Lung injury Embolism, fat Fractures, bone seizures case report |
status_str | publishedVersion |
title | Fat embolism syndrome in long bone fractures, case report |
title_full | Fat embolism syndrome in long bone fractures, case report |
title_fullStr | Fat embolism syndrome in long bone fractures, case report |
title_full_unstemmed | Fat embolism syndrome in long bone fractures, case report |
title_short | Fat embolism syndrome in long bone fractures, case report |
title_sort | Fat embolism syndrome in long bone fractures, case report |
topic | Fracturas de huesos Lesión pulmonar reporte de caso Crisis convulsivas Embolia grasa Lung injury Embolism, fat Fractures, bone seizures case report |
url | https://revistadigital.uce.edu.ec/index.php/CIENCIAS_MEDICAS/article/view/3372 |