A Case of Fat Embolism Syndrome Treated with Methylprednisolone

被引：0

作者：

Baba, Daisuke ^{[1
]}

Yamashita, Yugo ^{[1
]}

Fukuda, Yuki ^{[1
]}

Yamaji, Kyohei ^{[1
]}

Shiomi, Hiroki ^{[1
]}

Horie, Takahiro ^{[1
]}

Watanabe, Shin ^{[1
]}

Ono, Koh ^{[1
]}

机构：

[1] Kyoto Univ Hosp, Dept Cardiovasc Med, Kyoto, Japan

来源：

INTERNAL MEDICINE | 2024年

关键词：

Fat embolism; Methylprednisolone; Pulmonary embolism; Case report; CORTICOSTEROIDS; RISK;

D O I：

10.2169/internalmedicine.4472-24

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

A 74-year-old woman presented with sudden dyspnea 22 h after orthopedic surgery. Echocardiography revealed significant right ventricular dilatation, suggesting the development of acute pulmonary embolism. However, contrast computed tomography showed no signs of pulmonary thromboembolism, leading to suspicion of fat embolism syndrome (FES). Despite the administration of high-dose norepinephrine and dobutamine, her hemodynamic status did not improve, and high-dose methylprednisolone (250 mg) was administered. After administration, her hemodynamic status improved promptly, and she soon showed normotension. The current case suggests the possibility of high-dose methylprednisolone for hemodynamic improvement in FES.

引用

页数：5

共 50 条

[11] Fat embolism syndrome with cerebral fat embolism through a patent foramen ovale A case report
Yang, Lijuan
Wu, Jiafang
Wang, Baojun
MEDICINE, 2020, 99 (24) : E20569
[12] Fat Embolism Syndrome: A Case Report and Review Literature
Uransilp, Nattaphol
Muengtaweepongsa, Sombat
Chanalithichai, Nuttawut
Tammachote, Nattapol
CASE REPORTS IN MEDICINE, 2018, 2018
[13] Magnetic resonance and ophthalmoscopy in a case of fat embolism syndrome
Rojo, E.
Villaron, S.
Citores, R.
Guerrero, A. L.
NEUROLOGIA, 2011, 26 (07): : 436 - 438
[14] Single-case metanalysis of fat embolism syndrome
He, Zuowen
Shi, Zeqi
Li, Chenze
Sun, Yang
Arioli, Francesco
Wang, Yan
Ammirati, Enrico
Wang, Dao Wen
INTERNATIONAL JOURNAL OF CARDIOLOGY, 2021, 345 : 111 - 117
[15] Traumatic fatal fat embolism syndrome - case report
Grigoriu, Carmen
Dumitrescu, Gabriela
Knieling, Laura
Turliuc, Dana Mihaela
Astarastoae, Vasile
Grigoriu, Bogdan Dragos
ROMANIAN JOURNAL OF LEGAL MEDICINE, 2008, 16 (03): : 163 - 168
[16] FAT EMBOLISM SYNDROME
KING, P
MEDICAL JOURNAL OF AUSTRALIA, 1970, 2 (25) : 1190 - &
[17] Fat Embolism Syndrome
Korhan Taviloglu
Hakan Yanar
Surgery Today, 2007, 37 : 5 - 8
[18] FAT EMBOLISM SYNDROME
CORN, D
MEDICAL CLINICS OF NORTH AMERICA, 1964, 48 (06) : 1459 - &
[19] Fat embolism syndrome
Anselmo Caricato
Giovanni Russo
Daniele Guerino Biasucci
Maria Giuseppina Annetta
Intensive Care Medicine, 2017, 43 : 1411 - 1412
[20] Fat embolism syndrome
Romero-Nieto, M.
Medrano, V.
Piqueras-Rodriguez, L.
Mallada-Frechin, J.
Fernandez, S.
REVISTA DE NEUROLOGIA, 2007, 44 (03) : 184 - 185

← 1 2 3 4 5 →