Fat Embolism Syndrome: An Autopsy-Proven Case Involving a Patient on Dialysis and Systemic Scleroderma

A 66-year-old woman receiving continuous ambulatory peritoneal dialysis developed acute respiratory distress 12 hours after a fall. Blood gas analysis revealed hypoxia (PaO(2) 67.7 torr) and metabolic acidosis with an increased anion gap, consistent with lactic acidosis (lactate, 86.5 mg/dL; normal...

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Autores principales: Nishimura, Nahoko, Banno, Shogo, Kimura, Yukihiro, Maeda, Sayaka, Kobayashi, Mizuki, Kawai, Kumi, Suga, Norihiro, Suzuki, Keisuke, Miura, Naoto, Yokoi, Toyoharu, Imai, Hirokazu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Libertas Academica 2014
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3921132/
https://www.ncbi.nlm.nih.gov/pubmed/24526839
http://dx.doi.org/10.4137/CCRep.S12636
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author Nishimura, Nahoko
Banno, Shogo
Kimura, Yukihiro
Maeda, Sayaka
Kobayashi, Mizuki
Kawai, Kumi
Suga, Norihiro
Suzuki, Keisuke
Miura, Naoto
Yokoi, Toyoharu
Imai, Hirokazu
author_facet Nishimura, Nahoko
Banno, Shogo
Kimura, Yukihiro
Maeda, Sayaka
Kobayashi, Mizuki
Kawai, Kumi
Suga, Norihiro
Suzuki, Keisuke
Miura, Naoto
Yokoi, Toyoharu
Imai, Hirokazu
author_sort Nishimura, Nahoko
collection PubMed
description A 66-year-old woman receiving continuous ambulatory peritoneal dialysis developed acute respiratory distress 12 hours after a fall. Blood gas analysis revealed hypoxia (PaO(2) 67.7 torr) and metabolic acidosis with an increased anion gap, consistent with lactic acidosis (lactate, 86.5 mg/dL; normal range, 4.0–16.0). Magnetic resonance imaging showed a lumbar vertebral body fracture. On the fourth hospital day, the patient died of multiorgan failure and disseminated intravascular coagulation. Postmortem studies revealed fat emboli in the systemic circulation, ie, fat embolism syndrome. Diagnosing fat embolism syndrome can be difficult in patients on dialysis or in those with collagen vascular or pulmonary diseases.
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spelling pubmed-39211322014-02-13 Fat Embolism Syndrome: An Autopsy-Proven Case Involving a Patient on Dialysis and Systemic Scleroderma Nishimura, Nahoko Banno, Shogo Kimura, Yukihiro Maeda, Sayaka Kobayashi, Mizuki Kawai, Kumi Suga, Norihiro Suzuki, Keisuke Miura, Naoto Yokoi, Toyoharu Imai, Hirokazu Clin Med Insights Case Rep Case Report A 66-year-old woman receiving continuous ambulatory peritoneal dialysis developed acute respiratory distress 12 hours after a fall. Blood gas analysis revealed hypoxia (PaO(2) 67.7 torr) and metabolic acidosis with an increased anion gap, consistent with lactic acidosis (lactate, 86.5 mg/dL; normal range, 4.0–16.0). Magnetic resonance imaging showed a lumbar vertebral body fracture. On the fourth hospital day, the patient died of multiorgan failure and disseminated intravascular coagulation. Postmortem studies revealed fat emboli in the systemic circulation, ie, fat embolism syndrome. Diagnosing fat embolism syndrome can be difficult in patients on dialysis or in those with collagen vascular or pulmonary diseases. Libertas Academica 2014-01-20 /pmc/articles/PMC3921132/ /pubmed/24526839 http://dx.doi.org/10.4137/CCRep.S12636 Text en © 2014 the author(s), publisher and licensee Libertas Academica Ltd. This is an open access article published under the Creative Commons CC-BY-NC 3.0 license.
spellingShingle Case Report
Nishimura, Nahoko
Banno, Shogo
Kimura, Yukihiro
Maeda, Sayaka
Kobayashi, Mizuki
Kawai, Kumi
Suga, Norihiro
Suzuki, Keisuke
Miura, Naoto
Yokoi, Toyoharu
Imai, Hirokazu
Fat Embolism Syndrome: An Autopsy-Proven Case Involving a Patient on Dialysis and Systemic Scleroderma
title Fat Embolism Syndrome: An Autopsy-Proven Case Involving a Patient on Dialysis and Systemic Scleroderma
title_full Fat Embolism Syndrome: An Autopsy-Proven Case Involving a Patient on Dialysis and Systemic Scleroderma
title_fullStr Fat Embolism Syndrome: An Autopsy-Proven Case Involving a Patient on Dialysis and Systemic Scleroderma
title_full_unstemmed Fat Embolism Syndrome: An Autopsy-Proven Case Involving a Patient on Dialysis and Systemic Scleroderma
title_short Fat Embolism Syndrome: An Autopsy-Proven Case Involving a Patient on Dialysis and Systemic Scleroderma
title_sort fat embolism syndrome: an autopsy-proven case involving a patient on dialysis and systemic scleroderma
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3921132/
https://www.ncbi.nlm.nih.gov/pubmed/24526839
http://dx.doi.org/10.4137/CCRep.S12636
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