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Indian Journal of Emergency Medicine 4(2):p 180-184, April-June 2018. | DOI: http://dx.doi.org/10.21088/ijem.2395.311X.4218.24
Case Report
Complicated Femur Fracture with Acute Respiratory Distress Syndrome Secondary to Fat Embolism Syndrome
Kangjam Lakshmi Devi Resident, Department of Emergency Medicine, Max Super Speciality, Hospital, Vaishali, Ghaziabad, Uttar Pradesh 201012, India. , Kangjam Lakshmi Devi1 , Sarat Kumar Naidu2 , Dheeraj Bhaskaran Nair3
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Indian Journal of Emergency Medicine 4(2):p 180-184, April-June 2018. | DOI: http://dx.doi.org/10.21088/ijem.2395.311X.4218.24
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Abstract
Fat embolism (FE) is defined as a blockage of vasculature by fat globules that originate either from bone marrow or adipose tissue. It mainly affects the lungs, but can also affect the skin, retina, and central nervous system. FE is very common after long bone fractures, but this may lead to a rare clinical entity called fat embolism syndrome (FES), a systemic inflammatory cascade affecting multiple organ systems which has a high mortality and morbidity. We report a case of a 22 year old male presented with left femur fracture after a mechanical fall. Orthopedic repair was done, but he developed FES and ARDS on 2nd day of the injury following which he was aggressively anaged for these complications of his long bone fracture and was discharged in a stable condition after 16 days.
Keywords: Trauma; Femur Fracture; Fat Embolism Syndrome; Acute Respiratory Syndrome.
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DOI: http://dx.doi.org/10.21088/ijem.2395.311X.4218.24
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