Open AccessA fatal case of bone marrow embolism of unknown cause masquerading clinically as dengue shock syndrome
Author(s) -
Subramanian Kalaivani Selvi,
Rakhee Kar,
Vadivelan Mehalingam,
D. K. S. Subrahmanyam
Publication year - 2012
Publication title -
indian journal of pathology and microbiology/indian journal of pathology and microbiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.217
H-Index - 31
eISSN - 0974-5130
pISSN - 0377-4929
DOI - 10.4103/0377-4929.107827
Subject(s) - medicine , fat embolism , bone marrow , shock (circulatory) , dengue fever , respiratory distress , resuscitation , anemia , pulmonary embolism , disseminated intravascular coagulation , surgery , osteoporosis , radiology , pathology
Bone marrow fat embolism usually occurs following multiple bone fractures, intraosseous surgical procedures, following vigorous cardiac resuscitation, ecclampsia, sickle cell anemia, malignancies, etc. We present a case of 70-year-old male who presented with fever, cough with expectoration, respiratory distress, altered sensorium, hypotension and thrombocytopenia, and diagnosed to have dengue shock syndrome and expired within 1 day of admission. Postmortem lung biopsy revealed bone marrow fat embolism.