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Sindrome de embolismo graso con predominio de sintomas neurologicos / Fat embolism syndrome with predominance of neurological symptoms
Rangel Rivera, Diego; Fuentes Abreu, Stiven; Guerrero Caballero, Julian; Rodriguez Duran, Juan C.
  • Rangel Rivera, Diego; Hospital Regional de San Gil. Servicio de Hospitalizacion de Medicina Interna. Santander. CO
  • Fuentes Abreu, Stiven; Hospital Regional de San Gil. Servicio de Hospitalizacion de Medicina Interna. Santander. CO
  • Guerrero Caballero, Julian; Hospital Regional de San Gil. Servicio de Hospitalizacion de Medicina Interna. Santander. CO
  • Rodriguez Duran, Juan C; Hospital Regional de San Gil. Servicio de Hospitalizacion de Medicina Interna. Santander. CO
Rev. Asoc. Argent. Ortop. Traumatol ; 81(4): 310-314, 2016. ilus, tab
Article in Spanish | LILACS, BINACIS | ID: biblio-835457
RESUMEN
El sindrome de embolismo graso hace referencia a un conjunto de signos y sintomas secundarios a la liberacion de lipidos dentro de la circulacion sanguinea. Ocurre en alrededor del 1% de los pacientes con fracturas de femur. La triada clasica de este sindrome incluye dificultad respiratoria con hipoxemia, alteracion neurologica y exantema petequial. Pese a las descripciones aisladas que documentan la mejoria de los sintomas despues de administrar corticoides, no existe clara evidencia de la utilidad de estos farmacos, por lo que el manejo actual consiste en soporte cardiovascular y respiratorio. Se presenta un paciente adulto joven con sindrome de embolismo graso y manifestaciones respiratorias minimas tras una fractura traumatica de femur.
ABSTRACT
Fat embolism syndrome refers to a set of signs and symptoms caused by the release of fat in the bloodstream. It occurs in about 1% of patients with femur fractures. The classic triad includes respiratory distress with hypoxemia, neurologic impairment and petechial rash. Isolated reports document symptom improvement after administration of corticosteroids, but solid evidence of the usefulness of these drugs is lacking; therefore current management includes cardiovascular and respiratory support. We present a young adult patient with fat embolism syndrome and minimal respiratory symptoms after traumatic femoral fracture.
Subject(s)


Full text: Available Index: LILACS (Americas) Main subject: Embolism, Fat / Femoral Fractures Type of study: Diagnostic study Limits: Adolescent / Humans / Male Language: Spanish Journal: Rev. Asoc. Argent. Ortop. Traumatol Journal subject: Orthopedics Year: 2016 Type: Article Affiliation country: Colombia Institution/Affiliation country: Hospital Regional de San Gil/CO

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Full text: Available Index: LILACS (Americas) Main subject: Embolism, Fat / Femoral Fractures Type of study: Diagnostic study Limits: Adolescent / Humans / Male Language: Spanish Journal: Rev. Asoc. Argent. Ortop. Traumatol Journal subject: Orthopedics Year: 2016 Type: Article Affiliation country: Colombia Institution/Affiliation country: Hospital Regional de San Gil/CO