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Acta pediatr. esp ; 68(7): 362-365, jul. 2010. ilus, tab
Article in Spanish | IBECS | ID: ibc-83413

ABSTRACT

El síndrome de embolismo graso es un proceso asociado con frecuencia a las fracturas de los huesos largos y pélvicos, manifestad otras un periodo asintomático de 24-72 horas. La tríada clásica de presentación consiste en hipoxemia, afectación neurológica y exantema petequial. Su diagnóstico se basa encriterios clínicos, y el tratamiento fundamental es de soporte. Se han utilizado diversas estrategias terapéuticas con resultados no concluyentes. Comunicamos el caso de una adolescente con un cuadro de dificultad respiratoria aguda y exantema petequial asociado a una fractura de fémur (AU)


The fat embolism syndrome is a process usually associated with long bones and pelvis fractures that typically appear after an asymptomatic period of 24 to 72 hours. The presentation classic triad consists of hypoxemia, neurologic involvement and a petechial rash. The diagnosis is based in clinical criteria and the treatment should be mainly supportive. Many drugs have been used, but the results are inconclusive. We present the case of an adolescent with an acute respiratory distress syndrome and petechial rash, associated with femur fracture (AU)


Subject(s)
Humans , Female , Adolescent , Embolism, Fat/etiology , Femoral Fractures/complications , Dyspnea/etiology , Exanthema/etiology
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