Intensive Care Med (2017) 43:1411–1412 DOI 10.1007/s00134-017-4868-z IM AGING IN INTENSIVE C ARE MEDICINE Anselmo Caricato , Giovanni Russo, Daniele Guerino Biasucci and Maria Giuseppina Annetta © 2017 Springer-Verlag GmbH Germany and ESICM A 19-year-old man was admitted to our emergency intubation was performed. A few hours later, reddish- department after a road accident. He presented with brown nonpalpable axillary (Fig. 1a) and subconjunctival bilateral femoral fractures that were promptly treated petechiae (Fig. 1b) appeared. Brain CT and chest X-ray with external fixators. After surgery, he was monitored were normal. Suspecting a fat embolism syndrome, we in ICU. Twenty-four hours after admission, fever, tachy- performed an MRI that showed multiple hyperintense cardia, dyspnea, and hypoxia appeared. He also became puntiform lesions disseminated in deep white substance, drowsy but arousable, confused, and agitated. Tracheal basal ganglia, and thalamus on FLAIR imaging (Fig. 1c) Fig. 1 Classic cutaneous signs of fat embolism syndrome are shown: axillary (a) and subconjunctival petechiae (b). Multiple disseminated lesions are observed on FLAIR (c) and DWI (d) *Correspondence: email@example.com Department of Anesthesia and Critical Care, Fondazione Policlinico Universitario A. Gemelli, Largo F. Vito, 8, 00168 Rome, Italy 1412 Received: 31 May 2017 Accepted: 14 June 2017 and
Intensive Care Medicine – Springer Journals
Published: Jun 27, 2017
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