Open AccessA case of fat embolism syndrome complicated by diffuse alveolar hemorrhage
Author(s) -
Lee Jae Ha,
Park Jin Han,
Kim Yong Kyun,
Kim Ji Wan,
Kim Young Chang,
Kim Hyunkuk,
Jang Hang Jea
Publication year - 2018
Publication title -
hong kong journal of emergency medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.145
H-Index - 12
eISSN - 2309-5407
pISSN - 1024-9079
DOI - 10.1177/1024907917735072
Subject(s) - medicine , fat embolism , fat embolism syndrome , diffuse alveolar hemorrhage , respiratory failure , mechanical ventilation , embolism , pulmonary embolism , surgery , anesthesia
Fat embolism syndrome is a life‐threatening condition that may develop after orthopedic trauma and surgery. Fat embolism is caused by lipid droplets in the systemic circulation inducing mechanical or biochemical injury. Diagnosis is clinical and treatment is supportive. Clinical features including respiratory changes, neurological abnormalities, and petechial rashes generally present 12–72 h after the initial injury. However, respiratory failure accompanying diffuse alveolar hemorrhage in fat embolism syndrome is rare. This report describes a 44‐year‐old male patient suffering from fat embolism syndrome with diffuse alveolar hemorrhage caused by traumatic long bone fracture, in which mechanical ventilation was required to provide respiratory support.