Fat embolism syndrome associated with atraumatic compartment syndrome of the bilateral upper extremities: An unreported etiology.

Autor: Ali Z; State of Maryland, Baltimore, Maryland, USA.; Department of Pathology, University of Maryland, Baltimore, Maryland, USA., Troncoso JC; The Johns Hopkins University School of Medicine, Baltimore, Maryland, USA., Redding-Ochoa J; The Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Jazyk: angličtina
Zdroj: Journal of forensic sciences [J Forensic Sci] 2024 Mar; Vol. 69 (2), pp. 718-724. Date of Electronic Publication: 2024 Feb 06.
DOI: 10.1111/1556-4029.15465
Abstrakt: Fat embolism syndrome (FES) is a potentially life-threatening condition that develops when fat embolism leads to clinical symptoms and multisystem dysfunction. The classic triad of respiratory distress, neurologic symptoms, and petechial rash are non-specific, and the lack of specific laboratory tests makes the diagnosis of FES difficult. Although FES is most common after long bone fractures, multiple conditions some of which are atraumatic have been associated with the development of FES. We report a case of FES that occurred in the setting of a non-traumatic compartment syndrome of the upper extremities. The pathologic and clinical findings, pathophysiology, diagnostic challenges, and pathologic methods to properly diagnose FES are discussed with a review of the relevant literature. This case highlights the importance of the autopsy in making a diagnosis of FES in cases where death could otherwise be incorrectly attributed to multi-organ system failure, shock, or sepsis.
(© 2024 American Academy of Forensic Sciences.)
Databáze: MEDLINE
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