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Case Reports
[Unclear altered mental state and respiratory insufficiency following multiple injuries: fat embolism syndrome].
- M Schott, G Thürmer, and J-P Jantzen.
- Klinik für Anaesthesiologie, Intensivmedizin und Schmerztherapie, Krankenhaus Nordstadt, Klinikum Region Hannover, Haltenhoffstr. 41, 30167 Hannover, Deutschland. martin.schott@germanynet.de
- Anaesthesist. 2008 Jan 1;57(1):53-6.
AbstractFat embolism syndrome is associated with respiratory failure, hypoxia, petechial rash, pyrexia and altered mental state. Signs and symptoms usually begin within 12-72 h after trauma. The pathophysiology, differential diagnosis and therapeutic options of fat embolism syndrome are described and the case of a 29-year-old motorcyclist with fractures of the lower extremities, coma and respiratory failure 24-36 h after an accident is reported. Based on the clinical signs and course, fat embolism syndrome was suspected which was substantiated by ophthalmic fundoscopy and magnetic resonance imaging of the head.
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