Fat Emboli Syndrome in a Child with Duchenne Muscular Dystrophy After Minor Trauma

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• 作者：Loretta Stein ; MD^&lowast ; ; Richard Herold ; MD^&dagger ; ; ; Andrea Austin ; MD^&dagger ; ; William Beer ; MD^&dagger ;
• 关键词：Duchenne muscular dystrophy ; fat embolism syndrome ; pediatrics ; fat microglobulinemia ; tibial plateau fracture
• 刊名：Journal of Emergency Medicine
• 出版年：2016
• 出版时间：May 2016
• 年：2016
• 卷：50
• 期：5
• 页码：e223-e226
• 全文大小：744 K

文摘

Fat embolism syndrome is the result of systemic manifestations of fat emboli in the microcirculation. Duchenne muscular dystrophy is a condition that increases the risk of fracture resulting in fat emboli.

Case Report

We describe a patient with Duchenne muscular dystrophy who exhibited cardiopulmonary, neurologic, and ophthalmologic sequelae consistent with fat emboli syndrome after minor trauma.

Why Should an Emergency Physician Be Aware of This?

Fat embolism syndrome is a rare but important consideration with significant morbidity and risk of mortality in patients with Duchenne muscular dystrophy after even minor trauma. Early recognition and aggressive resuscitation are crucial to positive clinical outcomes.