Department of General Internal Medicine, Niigata City General Hospital, Niigata, Japan.
Department of Emergency and Critical Care Medicine, Niigata City General Hospital, Niigata, Japan.
Age Ageing. 2022 Mar 1;51(3). doi: 10.1093/ageing/afac046.
Fat embolism syndrome (FES) is a rare condition characterised by the classic triad of respiratory distress, neurologic symptoms and petechial rash. Here, we encountered a case of FES in a patient with an asymptomatic right undisplaced femoral neck fracture (Garden Stage II). FES was diagnosed based on the Gurd and Willson's diagnostic criteria and brain magnetic resonance imaging features. To the best of our knowledge, this is the first case of FES in a patient with an undisplaced femoral neck fracture. This study highlights the importance of considering the possibility of FES even in patients with undisplaced femoral neck fractures.
脂肪栓塞综合征(FES)是一种罕见的疾病,其特征为呼吸窘迫、神经症状和瘀点皮疹三联征。在这里,我们遇到了一例 FES 患者,其右侧无症状股骨颈骨折(Garden Ⅱ期)。根据 Gurd 和 Willson 的诊断标准和脑部磁共振成像特征诊断为 FES。据我们所知,这是首例无移位股骨颈骨折患者发生 FES。本研究强调了即使对于无移位股骨颈骨折患者,也应考虑 FES 的可能性。