Fat embolism syndrome in a patient with a right undisplaced femoral neck fracture

Age Ageing. 2022 Mar 1;51(3):afac046. doi: 10.1093/ageing/afac046.

Abstract

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.

Keywords: fat embolism syndrome; older people; respiratory failure; transient disorientation; undisplaced femoral neck fracture.

Publication types

  • Case Reports

MeSH terms

  • Brain
  • Embolism, Fat* / diagnostic imaging
  • Embolism, Fat* / etiology
  • Femoral Neck Fractures* / complications
  • Femoral Neck Fractures* / diagnostic imaging
  • Femoral Neck Fractures* / surgery
  • Fracture Fixation, Internal
  • Humans
  • Magnetic Resonance Imaging